Miliary tuberculosis leading to acute respiratory distress syndrome: Clinical experience in pediatric intensive care

被引：5

作者：

Piastra, Marco ^{[1
,2
]}

Picconi, Enzo ^{[1
]}

Morena, Tony C. ^{[1
]}

Valentini, Piero ^{[3
]}

Buonsenso, Danilo ^{[3
]}

Conti, Giorgio ^{[1
,2
]}

Antonelli, Massimo ^{[2
]}

Wolfler, Andrea M. ^{[4
]}

Chidini, Giovanna ^{[5
]}

Pons-Odena, Marti ^{[6
]}

De Pascale, Gennaro ^{[2
]}

Gemelli, Policlinico A.

Valentini, Piero ^{[3
]}

Lancella, Laura ^{[7
]}

Marano, Marco ^{[7
]}

Genovese, Orazio ^{[1
]}

De Luca, Daniele ^{[1
]}

Luca, Ersilia ^{[1
]}

Morena, Tony C. ^{[1
]}

Marzano, Laura ^{[1
]}

Picconi, Enzo ^{[1
]}

Pizza, Alessandro ^{[1
]}

Biasucci, Daniele G. ^{[2
]}

Gelormini, Camilla ^{[2
]}

Buonsenso, Danilo ^{[3
]}

Tempera, Alessia ^{[3
]}

De Carolis, Maria P. ^{[3
]}

机构：

[1] Univ Cattolica Sacro Cuore, Fdn Policlin A Gemelli, Pediat ICU & Trauma Ctr, Rome, Italy

[2] Univ Cattolica Sacro Cuore, Fdn Policlin A Gemelli, Dept Anesthesiol & Intens Care, Rome, Italy

[3] Univ Cattolica Sacro Cuore, Fdn Policlin A Gemelli, Dept Pediat, Rome, Italy

[4] ICP, V Buzzi Pediat Hosp, Intens Care Unit, Milan, Italy

[5] De Marchi Policlin Univ, Pediat Intens Care Unit, Milan, Italy

[6] Sant Joan de Deu Pediat Hosp, Intens Care Unit, Barcelona, Spain

[7] Bambino Gesu Pediat Hosp, Rome, Italy

来源：

PEDIATRIC PULMONOLOGY | 2019年 / 54卷 / 12期

关键词：

ARDS; HFOV; intratracheal surfactant; miliary tuberculosis; nebulized DNAase; Pott disease; VENTILATION; ARDS;

D O I：

10.1002/ppul.24510

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Acute respiratory distress syndrome (ARDS) represents a rare complication of miliary tuberculosis (TB) in the adult setting, and it is even less common in the pediatric population. The presence of comorbidities and the possibility of a delayed diagnosis may further impair the clinical prognosis of critically ill patients with disseminated TB and acute respiratory failure. In this report, we present a case series of five pediatric patients with miliary TB and ARDS, where rescue and multimodal respiratory support strategies have been applied with a favorable outcome in more than half of them. The burden of miliary TB over time on a general pediatric intensive care unit-including two ARDS patients-is also illustrated.

引用

页码：2003 / 2010

页数：8

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