NONTRAUMATIC HEMORRHAGE OF THE SUPRARENAL

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Abstract
While small hemorrhages into the suprarenal, ranging in size from a pea to a walnut, have been found not infrequently postmortem, acute hemorrhagic suprarenalitis, and more especially large nontraumatic hemorrhages, are rare. The fact that in this instanceStreptococcus hemolyticuswas isolated from the blood both antemortem and postmortem, and that the case followed shortly on an epidemic of empyema at Camp Dodge due to the same organism, leads to the supposition that this organism was the exciting cause. It seems reasonable to assume that by lodgment of a bacterial embolus either in a vessel wall or a vessel itself, a dissolution of the vessel occurred resulting in hemorrhage and death. The clinical picture up to a few hours before death was that of a severe septicemia, and such was the antemortem diagnosis. REPORT OF CASE History. —G. S., 2704293, white man, aged 27, born in South Dakota, was admitted

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