Disseminated tuberculosis (TB) results from a massive lymphohematogenous dissemination of Mycobacterium tuberculosis. We report a 38-year-old patient who presented with fever , severe weakness for 5 days , his initial workup in the Emergency showed severe hypokalemia resistant to multiple doses of potassium replacement , later the patient showed feature of meningitis , his CSF analysis confirmed Tuberculous meningitis , after starting on Anti tuberculous medications, his hypokalemia improved significantly. Later sputum culture came positive for TB and the patient labelled as Disseminated Tuberculosis. Despite Severe Hypokalemia being a rare association with Tuberculosis, Disseminated Tuberculosis can be considered as the possible cause in patient presenting with severe hypokalemia and fever. Renal tubular defect could be the proposed mechanism causing potassium losing nephropathy.

Disseminated tuberculosis (TB) results from a massive lymphohematogenous dissemination of Mycobacterium tuberculosis. We report a 38-year-old patient who presented with fever , severe weakness for 5 days , his initial workup in the Emergency showed severe hypokalemia resistant to multiple doses of p...