SavedAdd your journal

Journals / Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi / 2000 / Cilt: 5 - Sayı: 4

A fatal miliary tuberculosis case presenting as acute respiratory distress syndrome

Akut respiratuar distres sendromuyla seyreden, mortal sonlanan bir miliyer tüberküloz olgusu

Serap ŞİMŞEK
Nurgül YURTSEVEN
Abdurrahman EKSİK
Levent ÇELİK
Pages
264–269
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This case emphasizes the importance of considering miliary tuberculosis as a cause of ARDS.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A case of fatal miliary tuberculosis presenting as acute respiratory distress syndrome (ARDS) was reported.A 15 year old woman, known to have ventricular septal defect for 7 years was admitted to the hospital with fever, shaking chills and dry cough.
📊
Key Findings & Data:The patient developed ARDS within 24 hours of admission to the hospital.
💡
Conclusion & Impact:This case emphasizes the importance of considering miliary tuberculosis as a cause of ARDS.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Tüberküloz · miliyer · Antitüberküler ajanlar

Abstract

A case of fatal miliary tuberculosis presenting as acute respiratory distress syndrome (ARDS) was reported.A 15 year old woman, known to have ventricular septal defect for 7 years was admitted to the hospital with fever, shaking chills and dry cough. The chest X-ray revealed miliary pattern throughout both lung fields. The patient developed ARDS within 24 hours of admission to the hospital. Microscopic examination of the endotracheal aspirate of the patient revealed (++) acid fast bacilli.'Despite early ventilatory support and antituberculosjs therapy the patient died. This case emphasizes the importance of considering miliary tuberculosis as a cause of ARDS.

Özet

Akut respiratuar distres sendromu (ARDS) ile seyreden ve mortal sonlanan bir miliyer tüberküloz olgusu sunulmuştur. Ateş, üşüme, titreme ve kuru öksürük yakınmalarıyla başvuran ve yaklaşık 7 yıldır ventriküler septal defekt nedeniyle izlenmekte olan 15 yaşındaki bayan hastanın, akciğer grafisinde her iki akciğerde miliyer görünüm mevcuttu. Hastada, başvurusundan itibaren 24 saat içinde ARDS gelişti. Tüberküloz tanısı endotrakeal aspiratta (++) asidorezistan basil (ARB) saptanmasıyla kesin olarak konuldu. Erken ventilator desteğine ve antitüberküloz tedaviye karşın hasta kaybedildi. Miliyer tüberkülozda ARDS gibi hızlı seyirli klinik tabloların sözkonusu olabileceği ve ARDS olgularında tüberkülozun da akılda tutulmasının önemli olduğu düşünüldü.

🔖

Cite This Article

ŞİMŞEK, S., YURTSEVEN, N., EKSİK, A., ÇELİK, L. (2000). A fatal miliary tuberculosis case presenting as acute respiratory distress syndrome. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, Cilt: 5 - Sayı: 4, 264–269. https://ajindex.com/articles/216879

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Soubani AM, Pieroni R. Acute respiratory distresssyndrome: A clinical update. South Med J 1999;92:450-7. 2.Bernard GR, Artigas A, Brigham KL, et al. The Ameri-can-European Consensus Conference on ARDS. Defini-tions, mechanisms, relevant outcomes, and clinical trialcoordination. Am J Crit Care Med 1994;149(3 Pt 1):818-24. 3. Piqueras AR, Marruecus L, Artigas A, et al. Intensive Ca-re Med 1987;13:175-82. 4.Haas DW, Des Prez RM.Mycobacterium tuberculosis.In: Mandell GL, Douglas RG, Bennett JE (eds). Princip-les and Practice of Infectious Diseases. 4thed, Newyork:Churchill Livingstone, 1995:2232-4. 5.Lintin SN, Isaac PA. Miliary tuberculosis presenting asadult respiratory distress syndrome. Intensive Care Med1988;14:672-4. 6.Desilva A, Gibson J, Gilbert D. Miliary tuberculosis andadult respiratory distress syndrome. Ann Intern Med1977;86:659-60. 7.Stein D, Libertin CR. Disseminated intravascular coagu-lation in association with cavitary tuberculosis. SouthMed J 1990;83:60-3. 8.ishio H, Ito S, Oida K, Miyabo S. A case of miliary tu-berculosis associated with acute respiratory failure duringpregnancy. Kekkaku 1990;65:633-8. 9.Dugernier TL, Brasseur A, Shabani J. Adult respiratorydistress syndrome and miliary tuberculosis. Acta ClinBelg 1990;45:188-93. 10. Mofredj A, Guerin JM, Kidouche R, et al. Acute respira-tory distress syndrome and pancytopenia during miliarytuberculosis in a HIV positive patient. Ann Fr Anesth Re-anim 1996;15:1203-6. 11. LaForce FM. Approach to the patient with pleuropulmo-nary infection. In: Gorbach SL, Barlett JG (eds). Infecti-ous Diseases. Philadelphia: WB Saunders Company,1992:460-4. 12. Choyke PL, Sostman HD, Curtis AM, et al. Adult onsetpulmonary tuberculosis. Radiology 1983;148:357-62. 13. Nagai H, Mori M. Miliary Tuberculosis. Nippon Rinsho1998;56:3129-33. 14. Dyer RA, Potgıeter PD. The adult respiratory distresssyndrome and bronchogenic pulmonary tuberculosis.Thorax 1984;39:383-7. 15. Bobrowitz ID. Active tuberculosis undiagnosed until au-topsy. Am J Med 1982;72:650-8. 16. Nolte FS, Metchock B. Mycobacterium. In: Murray PR,Baron EJ, Pfaller MA, et al (eds). Manual of Clinical Mic-robiology. 6thed, Washington DC: ASM Press, 1995:413-4. 17. Lipsky BA, Gates J, Tenover FC. Factors affecting clini-cal value of microscopy for acid-fast bacilli. Rev Infect Dis1984;6:214-22. 18. Bahamman A, Choudhri S, Long R. The validity of acidfast smears of gastric aspirates as an indicator of pulmo-nary tuberculosis. Int J Tubercul Lung Dis 1999;3