title: Disseminated tuberculosis presenting with polymorphonuclear effusion and septic shock in an HIV-seropositive patient: a case report.
abstract: BACKGROUND
  Because a substantial number of patients present with few or atypical symptoms, the recognition of tuberculosis remains challenging. Disseminated tuberculosis presenting with septic shock has already been described in some case reports, but, to the best of our knowledge, it has never been associated with polymorphonuclear effusion.
  
  
  METHODS
  We describe the case of a 27-year-old man from western Africa who was seropositive for human immunodeficiency virus. He presented with pleural and abdominal polymorphonuclear effusions and quickly developed septic shock due to disseminated Mycobacterium tuberculosis infection leading to multiple organ failure and death.
  
  
  CONCLUSIONS
  In high-risk patients, Mycobacterium tuberculosis infection should be considered even in exceptional clinical presentations, such as septic shock and polymorphonuclear effusions.
authors.affiliation: Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland. olivier.nancoz@hcuge.ch.
authors.forename: Olivier
authors.initials: O
authors.lastname: Nancoz
authors.forename: Omar
authors.initials: O
authors.lastname: Kherad
authors.forename: Etienne
authors.initials: E
authors.lastname: Perrin
authors.forename: Christophe
authors.initials: C
authors.lastname: Hsu
authors.forename: Johannes Alexander
authors.initials: JA
authors.lastname: Lobrinus
authors.forename: Mathieu
authors.initials: M
authors.lastname: Nendaz