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2014, Number 2

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Med Crit 2014; 28 (2)

Adult respiratory distress syndrome and miliary tuberculosis. Case report and literature review

Cueto RG, Navarro VDI, Meza MR, Barragán PG, Álvarez MP, Cícero SR

Language: Spanish
References: 25
Page: 124-128
PDF size: 234.43 Kb.


ABSTRACT

Miliary tuberculosis may occur as a result of initial blood dissemination (primary) or secondary to reactivation. The majority of patients with miliary tuberculosis are not critically ill. Miliary tuberculosis and less frequently mycobacterium pneumonia has been reported as a cause of adult respiratory distress syndrome; with high mortality rates. The mechanisms of adult respiratory distress syndrome associated with miliary tuberculosis are complex. Mycobacterium tuberculosis has properties that could amplify the acute lung injury. Reports that describe the combination of adult respiratory distress syndrome and miliary tuberculosis are based in clinical features, and do not support the diagnosis with characteristic histological features of the disease. The target of treatment is limiting lung injury by anti-tuberculous drugs and steroids. Mechanical ventilation support is essential. In this case we present clinical and radiological features, characteristic of adult respiratory distress syndrome. Histological findings corresponding to tuberculosis and adult respiratory distress syndrome. The aim of this report is to highlight the importance of this association by the prevalence of tuberculosis as high in our country likely find it more often, and does a review of the literature about this association.


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