Adult Respiratory Distress Syndrome and Miliary Tuberculosis
1990; Taylor & Francis; Volume: 45; Issue: 3 Linguagem: Inglês
10.1080/17843286.1990.11718085
ISSN2295-3337
AutoresT. Dugernier, Alexandre Brasseur, Josephine Shabani,
Tópico(s)Tuberculosis Research and Epidemiology
ResumoMiliary tuberculosis presenting as fatal adult respiratory distress syndrome is reported in a 69-year-old man.Idiopathic thrombocytopenic purpura led to splenectomy 2 years before admission and was currently treated with corticosteroids. Moderate dyspnea, a dry cough and weight loss were presenting clinical features, preceding respiratory failure by only a few days.In these patients with atypical symptoms early diagnosis and prompt antituberculous chemotherapy are life-saving. The diagnosis of miliary tuberculosis should be systematically considered in ARDS of unknown origin.Acta Clin Belg. 45, 3: 188–93intensive Care Department St Pierre Hospital Avenue Reine Fabiola, 1340 Ottignies-Belgium Reprint request: T.L. Dugernier
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