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Living with Waterhouse-Friderichsen syndrome

A condition in which bleeding into the adrenal glands stops them from working, usually after a severe bacterial infection.

Understanding Waterhouse-Friderichsen syndrome

Waterhouse-Friderichsen syndrome is adrenal gland failure caused by bleeding into the adrenal glands.

It is usually caused by a severe meningococcal infection or another severe bacterial infection. It mainly occurs in children but can occur in adults.

Signs & symptoms

GARD lists these symptoms:

  • Sudden adrenal gland failure (acute adrenal insufficiency)
  • Profound shock

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Hormone specialists (endocrinologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which infection caused this?
How will my adrenal gland function be checked afterward?
Which specialists should be on my care team?

Quick facts

GARD says it is caused by bleeding into the adrenal glands, usually from a severe meningococcal or other bacterial infection.

Endocrine

Also known as: acute adrenal insufficiency with meningococcemia; fatal pneumococcal waterhouse-friderichsen syndrome; meningococcal adrenal syndrome; meningococcal hemorrhagic adrenalitis; meningococcal waterhouse-friderichsen syndrome; waterhouse-friderichsen disease

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Waterhouse-Friderichsen syndromeGARD ID 9449 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Waterhouse-Friderichsen syndrome.

Explore the Waterhouse-Friderichsen syndrome blog

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Explore actively recruiting Waterhouse-Friderichsen syndrome studies with HealthSpark.

HealthSpark

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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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