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Timothy M. Clark, MD; William J. Burman, MD; David L. Cohn, MD; Philip S. Mehler, MD

Arch Intern Med. 1998;158:1033-1035.

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.

From the Department of Medicine, University of Colorado Health Sciences Center, Denver (Dr Clark), and the Departments of Public Health (Drs Burman and Cohn) and Medicine (Dr Mehler), Denver Health Medical Center.

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