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Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination

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...

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Autores principales: Aurangabadkar, Gaurang M, Jadhav, Ulhas S, Choudhary, Sumer S, Khan, Shafee M, Wagh, Pankaj, Upadhyay, Puja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937678/
https://www.ncbi.nlm.nih.gov/pubmed/36819354
http://dx.doi.org/10.7759/cureus.33944
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author Aurangabadkar, Gaurang M
Jadhav, Ulhas S
Choudhary, Sumer S
Khan, Shafee M
Wagh, Pankaj
Upadhyay, Puja
author_facet Aurangabadkar, Gaurang M
Jadhav, Ulhas S
Choudhary, Sumer S
Khan, Shafee M
Wagh, Pankaj
Upadhyay, Puja
author_sort Aurangabadkar, Gaurang M
collection PubMed
description 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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spelling pubmed-99376782023-02-18 Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination Aurangabadkar, Gaurang M Jadhav, Ulhas S Choudhary, Sumer S Khan, Shafee M Wagh, Pankaj Upadhyay, Puja Cureus Emergency Medicine 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. Cureus 2023-01-18 /pmc/articles/PMC9937678/ /pubmed/36819354 http://dx.doi.org/10.7759/cureus.33944 Text en Copyright © 2023, Aurangabadkar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Aurangabadkar, Gaurang M
Jadhav, Ulhas S
Choudhary, Sumer S
Khan, Shafee M
Wagh, Pankaj
Upadhyay, Puja
Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination
title Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination
title_full Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination
title_fullStr Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination
title_full_unstemmed Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination
title_short Miliary Tuberculosis with Acute Respiratory Distress Syndrome: A Deadly Combination
title_sort miliary tuberculosis with acute respiratory distress syndrome: a deadly combination
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937678/
https://www.ncbi.nlm.nih.gov/pubmed/36819354
http://dx.doi.org/10.7759/cureus.33944
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