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Tuberculosis Associated Septic Shock

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  • Putra Narendra Ida Bagus
Putra Narendra Ida Bagus
Department of Internal Medicine, Wangaya General Hospital, Denpasar, Bali, Indonesia
Published in : International Journal of Scientific Research and Management (IJSRM) , Vol. 12 No. 02 (2024)

Published 2024-02-15

Keywords

  • Tuberculosis, Miliary Tuberculosis, Septic Shock, Metastatic, Sepsis

Copyright (c) 2024 Putra Narendra Ida Bagus

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Diagnosing and identifying the underlying disease of septic shock is so difficult, cases of tuberculosis-associated septic shock are extremely rare. A 55-year-old Woman with weakness, nausea, low intake, five episodes of diarrhea, three weeks of coughing, and a positive rapid molecular test result for tuberculosis. The patient had a history of AIDS and was receiving ARV treatment. There had also been a lump in the right neck for a month. A fine needle aspiration biopsy (FNAB) was performed, and the results showed a focus of atypical cells with a background of suppurative chronic inflammation. A physical examination revealed a fever (380C), blood pressure of 78/46 mmHg, and a pulse rate of 110 beats per minute. WBC: 2.60, HB: 7.5, HCT: 23.3, Plt: 353, SGOT/SGPT: 68/8, GDA: 142, BUN/SC: 108/2.6, Na: 141, K: 2.7, Cl: 107 were the results of the laboratory tests. The thorax x-ray revealed a pattern of miliary tuberculosis with a differential diagnosis of the metastatic.

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