Adrenals, hemorrhagic necrosis from

It was noted that she had gram-negative rods on her blood smear her blood culture grew penicillin-sensitive Streptococcus pneumoniae, in 6 hours. At autopsy, she was noted to have Streptococcus pneumoniae endocarditis of the right ventricle, focal ischemia of the left ventricle, bilateral pleural effusions, hepatic congestion with thrombosis, renal congestion, bilateral adrenal hemorrhage, and necrosis. Death was due to septic shock from Streptococcus pneumoniae. 

In chronic benzene intoxication, mild poisoning produces headache, dizziness, nausea, stomach pain, anorexia, and hypothermia. In severe cases, pale skin, weakness, blurred vision, and dyspnea occur on exertion. Hemorrhagic tendencies include petechia, easy bruising, and bleeding gums. Bone marrow depression produces a decrease in circulating peripheral erythrocytes and leucocytes (101). Fatalities from chronic exposure show at autopsy severe bone marrow aplasia, and necrosis or fatty degeneration of the heart, fiver, and adrenals (125). 

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