A Fatal Case of Concurrent Disseminated Tuberculosis, Pneumocystis Pneumonia, and Bacterial Septic Shock in a Patient with Rheumatoid Arthritis Receiving Methotrexate, Glucocorticoid, and Tocilizumab: An Autopsy Report

Figure 4

Excessive neutrophil accumulation with necrosis in the lung ((a) ×40; (b) ×100). Numerous acid-fast bacilli with Ziehl–Neelsen stain ((c) ×400) and round to oval cysts with Grocott’s methenamine silver nitrate stain ((d) ×400). Granulomas present in the liver (e), spleen (f), kidney (g), pancreas (h), and adrenal gland (i).

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