Disseminated tuberculosis presenting with polymorphonuclear effusion and septic shock in an HIV-seropositive patient: a case report

Article Article scientifique Article Disseminated tuberculosis presenting with polymorphonuclear effusion and septic shock in an HIV-seropositive patient: a case report eng 2010 author Nancoz Olivier author Kherad Omar 509928 author Perrin Etienne author Hsu Christophe François 506116 author Lobrinus Johannes Alexander 647649 author Nendaz Mathieu 0000-0003-3795-3254 33708 155 10.1186/1752-1947-4-155 20504345 1752-1947 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887896/pdf/1752-1947-4-155.pdf INTRODUCTION: 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. CASE PRESENTATION: 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. CONCLUSION: In high-risk patients, Mycobacterium tuberculosis infection should be considered even in exceptional clinical presentations, such as septic shock and polymorphonuclear effusions. Dewey 616 Dewey 616.07 Dewey 618.97 137 Département de pathologie et immunologie 21F 56 Département de médecine 221 65 Département de réadaptation et gériatrie 22B false 395 Acquisition de l'expertise médicale 662 Journal of medical case reports 4 40e72940-1b5c-4e5b-a9fc-f38f0499b5e1 Article (Accepted version) Public file1.pdf 837293 application/pdf openAccess Faculté de médecine / Section de médecine fondamentale / Département de pathologie et immunologie Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie

Title	Published in	Year	Views	Downloads

Disseminated tuberculosis presenting with polymorphonuclear effusion and septic shock in an HIV-seropositive patient: a case report	Journal of medical case reports	2010	695	1,172
Les kératoses séborrhéiques (KS) : évaluation des modèles rétentionnel et prolifératif		2006	1,915	1,568

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Hsu, Christophe François