Ramírez-Rayón EM, López-Velázquez DF, García-Torres E, García-Jiménez FJ, Guadarrama-Quintana JF, Blancas-Cervantes JM, Castro-Campos AÁ, Lara-Cortez M, Ávalos-Ríos JM, Centeno-Ramírez B

Language: Spanish
References: 11
Page: 813-818
PDF size: 407.83 Kb.

ABSTRACT

Tuberculosis is typically considered a chronic disease, although it can be manifested acutely, whose form is reviewed in this clinical case. The pathogenesis of acute tuberculosis is usually related to epidemiological and genetic factors of the host. Septic shock due to Mycobacterium tuberculosis is rare, but it is well recognized, behaving similarly to bacterial septic shock, known as sepsis tuberculosa gravissima. Our patient was admitted with hemodynamic compromise and diagnosis of septic shock that evolved to multiorganic failure; despite antimicrobial and antituberculous management, patient died five days after admission to the intensive care unit. The spectrum of M. tuberculosis disease makes diagnosis difficult, unless clinical suspicion is high, but high mortality requires consideration. The early start of therapy is decisive to optimize the clinical outcome.

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