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.
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页数：5
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