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Fulminant forlöb af septisk shock med Mycobacterium tuberculosis-infektion
Engelsk titel: Severe progress of septic shock with Mycobacterium tuberculosis infection Läs online Författare: Cordtz JJ ; Reiter N ; Jensen KA ; Heslet L Språk: Dan Antal referenser: 4 Dokumenttyp: Fallbeskrivning UI-nummer: 05051912

Tidskrift

Ugeskrift for Laeger 2005;167(22)2418-9 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Septic shock is an unusual complication of tuberculosis infection. We describe a case of tuberculosis presenting non-specific symptoms of pneumonia deteriorating into ARDS and septic shock. M. tuberculosis was identified in sputum. In repeated standard surveillance cultures, including blood, urine and sputum, no other bacterial agent was found. HIV test was negative. After institution of anti-tuberculous antibiotic treatment and symptomatic therapy including mechanical ventilation and vasopressor/fluid therapy, the patient survived the ICU stay.