Disseminated tuberculosis presenting with polymorphonuclear effusion and septic shock in an HIV-seropositive patient: a case report.
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.
Nancoz
Olivier
O
Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland. olivier.nancoz@hcuge.ch.
Kherad
Omar
O
Perrin
Etienne
E
Hsu
Christophe
C
Lobrinus
Johannes Alexander
JA
Nendaz
Mathieu
M