A Case of Septic Shock due to Mycobacterium tuberculosis: An Uncommon and Forgotten Disease Entity?

結核敗血性休克在有效的抗結核藥物問世後就不再被注意，而1990年代開始，有人類免疫不全病毒感染的病患併結核敗血性休克的病例被報導，然而，1990年代末期，開始也有無人類免疫不全病毒感染的病患併結核敗血性休克的病例被注意，我們相信結核敗血性休克因之前有效結核藥物的發明，及診斷的進步，而在結核盛行的地區被忽視。我們報告一位43歲女性患者，發生結核敗血性休克，其人類免疫不全病毒血清學檢查為陰性，在加護病房中，運用脈搏波形分析心排出量監測(PiCCO)，並和文獻的資料作印證。

關鍵字

結核敗血性休克

並列摘要

Septic shock caused by Mycobacterium tuberculosis has rarely been reported following the advent of effective anti-tuberculous drugs. Since the emergence of human immunodeficiency virus (HIV) infection, there have been several reports regarding septic shock due to M. tuberculosis in these immunocompromised patients. Recently, this presentation has also been found in non-HIV patients. We described a non-HIV patient presenting with a rapidly fatal course; M. tuberculosis was the only causative micro-organism identified. Pulse contour cardiac output (PiCCO) was used for the first time to document the hemodynamic change in septic shock due to M. tuberculosis.

並列關鍵字