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March 1980

Tuberculous Bacillemia, Hyperpyrexia, and Rapid Death

Author Affiliations

From the Clinical Microbiology Laboratory (Dr Pasculle) and Division of Infectious Diseases (Dr Ho), Presbyterian-University Hospital, and the Departments of Pathology (Drs Pasculle, Kapadia, and Ho) and Medicine (Dr Ho), University of Pittsburgh School of Medicine.

Arch Intern Med. 1980;140(3):426-427. doi:10.1001/archinte.1980.00330150140035

• Hyperpyrexia, followed rapidly by multiple organ failure and death, developed in a previously healthy man. Postmortem examination indicated disseminated tuberculosis with adrenal involvement, but also evidence compatible with heat stroke. Mycobacterium tuberculosis was isolated from a routine blood culture. The patient's symptoms may have been the result of his bacillemia or the result of unapparent tuberculous chronic adrenocortical insufficiency that made him unusually sensitive to heat.

(Arch Intern Med 140:426-427, 1980)