![](/images/graphics-bg.png)
Miliary Tuberculosis-Related Acute Respiratory Distress Syndrome Complicated with Hemophagocytic Lymphohistiocytosis Syndrome
Joint Authors
Fu, Pin-Kuei
Shiu, Sz-Iuan
Wang, Chen-Yu
Shiu, Sz-Jiun
Li, Ting-Ting
Lee, Bor-Jen
Source
Case Reports in Infectious Diseases
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Acute respiratory distress syndrome (ARDS) and hemophagocytic lymphohistiocytosis (HLH) are accompanied with poor outcome and high mortality when miliary tuberculosis is a causative pathogen for both of them.
A patient complicated with ARDS and HLH is unusual in critical care, and few case reports are present in PudMed.
Besides, the relationship between HLH and ARDS is still unknown and has not been reviewed in the literature.
In this report, we present the case of a 74-year-old Taiwanese woman suffering from pulmonary tuberculosis and miliary tuberculosis, and she developed ARDS and HLH on the 3rd day after admission.
We arranged serial laboratory examination, various serum markers, bone marrow aspiration, and bronchoscopy with alveolar lavage for survey; we prescribed empirical antibiotics and antituberculosis medication soon after alveolar lavage showing positive acid-fast stain.
She was extubated on hospital day 31 and discharged on hospital day 73.
In conclusion, early diagnosis and intervention for underlying disease and intensive bundle care for multiorgan failure are crucial for both ARDS and HLH.
American Psychological Association (APA)
Shiu, Sz-Jiun& Li, Ting-Ting& Lee, Bor-Jen& Fu, Pin-Kuei& Wang, Chen-Yu& Shiu, Sz-Iuan. 2019. Miliary Tuberculosis-Related Acute Respiratory Distress Syndrome Complicated with Hemophagocytic Lymphohistiocytosis Syndrome. Case Reports in Infectious Diseases،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1137178
Modern Language Association (MLA)
Shiu, Sz-Jiun…[et al.]. Miliary Tuberculosis-Related Acute Respiratory Distress Syndrome Complicated with Hemophagocytic Lymphohistiocytosis Syndrome. Case Reports in Infectious Diseases No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1137178
American Medical Association (AMA)
Shiu, Sz-Jiun& Li, Ting-Ting& Lee, Bor-Jen& Fu, Pin-Kuei& Wang, Chen-Yu& Shiu, Sz-Iuan. Miliary Tuberculosis-Related Acute Respiratory Distress Syndrome Complicated with Hemophagocytic Lymphohistiocytosis Syndrome. Case Reports in Infectious Diseases. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1137178
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137178