2025-11-272025-11-27http://hdl.handle.net/2263/105870Clinical history : A female child 5 years old transferred from Cullinan Hospital in a state of shock and with widespread petechial haemorrhages in the skinAutopsy findings : 1. Waterhouse - Frederichson syndrome 2. Petechial skin haemorrhages and ecchymoses 3. Bilateral adrenal gland haemorrhage 4. Early acute leplomeningitisDiagnosis: Massive haemorrhage