These adrenals are black-red from extensive hemorrhage in a patient with meningococcemia. This produces the Waterhouse-Friderichsen syndrome.

• 流行性脑脊髓膜炎（脑膜炎双球菌引起）时，肾上腺大范围出血使其呈暗红色，从而发生沃-弗综合征。