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 TM, Burman WJ, Cohn DL, Mehler PS. Septic Shock From Mycobacterium tuberculosis After Therapy for Pneumocystis carinii. Arch Intern Med. 1998;158(9):1033-1035. doi:10.1001/archinte.158.9.1033