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November 21, 1977

Septicemia: Occurrence With Bacteriologically Positive Pulmonary Tuberculosis

JAMA. 1977;238(21):2297-2299. doi:10.1001/jama.1977.03280220065026

Fever was unchanged by chemotherapy in ten patients with bacteriologically positive pulmonary tuberculosis. Blood cultures were positive for Gram-positive organisms in six patients and for Gram-negative organisms in four patients. The same organism was present in sputa and blood in six patients and in urine and blood in two patients. Leukocytosis was not found, and roentgenographic findings did not suggest superinfection. Nine of the ten patients survived. Blood cultures must be obtained in patients with pulmonary tuberculosis whose fever is not altered by antituberculous chemotherapy, so that concomitant septicemia is not neglected.

(JAMA 238:2297-2299, 1977)