Tuberculous bacillemia, hyperpyrexia, and rapid death.
Hyperpyrexia, followed rapidly by multiple organ failure and death, developed in a previously healthy man. Postmortem examination indicated disseminated tuberculosis with adrenal involvement, but also evidence compatible with heat stroke. Mycobacterium tuberculosis was isolated from a routine blood culture. The patient's symptoms may have been the result of his bacillemia or the result of unapparent tuberculous chronic adrenocortical insufficiency that made him unusually sensitive to heat.
D000307:Adrenal Gland Diseases / Q000150:complications; D000309:Adrenal Insufficiency / Q000150:complications; D005334:Fever / Q000401:mortality*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D018805:Sepsis / Q000150:complications*; D013997:Time Factors; D014383:Tuberculosis, Endocrine / Q000150:complications; D014391:Tuberculosis, Miliary / Q000150:complications*