Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination

被引：0

作者：

Aurangabadkar, Gaurang M. ^{[1
]}

Jadhav, Ulhas S. ^{[2
]}

Choudhary, Sumer S. ^{[1
]}

Khan, Shafee M. ^{[1
]}

Wagh, Pankaj ^{[2
]}

Upadhyay, Puja ^{[2
]}

机构：

[1] Datta Meghe Inst Higher Educ & Res, Datta Meghe Med Coll, Resp Med, Nagpur, India

[2] Datta Meghe Inst Higher Educ & Res, Jawaharlal Nehru Med Coll, Resp Med, Wardha, India

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 01期

关键词：

dexamethasone; antitubercular therapy; hyponatremia; acute respiratory distress syndrome; miliary tuberculosis;

D O I：

10.7759/cureus.33944

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A unique and deadly presentation of miliary tuberculosis is acute respiratory distress syndrome. In this case report, we present the case of a 22-year-old male patient who presented with a history of weight loss, appetite loss for eight months, and rapidly worsening dyspnea for 15 days, for which he was admitted to the intensive care unit. Chest X-ray and computed tomography (CT) of the thorax revealed bilateral miliary opacities. Routine blood tests revealed hyponatremia and leukocytosis. The patient was started on non-invasive ventilatory support, intravenous corticosteroids, and anti-tubercular therapy on clinical and -radiological suspicion of miliary tuberculosis. The patient was admitted for one month and started to show rapid recovery after initiating anti-tubercular and corticosteroid therapy.

引用

页数：5

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