Septic shock from Mycobacterium tuberculosis after therapy for Pneumocystis carinii.
Septic shock resulting from Mycobacterium tuberculosis (TB) occurs only rarely, even among patients infected with human immunodeficiency virus. We report a case of fulminant TB sepsis in the setting of human immunodeficiency virus infection. This case illustrates the hazards of corticosteroid use as a part of empirical treatment of Pneumocystis carinii pneumonia, as well as the unique appearance of TB on chest x-ray films.
Clark
T M
TM
Department of Medicine, University of Colorado Health Sciences Center, Denver, USA.
Burman
W J
WJ
Cohn
D L
DL
Mehler
P S
PS
D017088:AIDS-Related Opportunistic Infections / Q000382:microbiology*; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000009:adverse effects* / Q000627:therapeutic use; D009169:Mycobacterium tuberculosis; D011020:Pneumonia, Pneumocystis / Q000188:drug therapy*; D012772:Shock, Septic / Q000209:etiology / Q000382:microbiology*
D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone