Miliary Tuberculosis Presenting with ARDS and Shock: A Case Report and Challenges in Current Management and Diagnosis
Joint Authors
Singh, Keevan
Hyatali, Saara
Giddings, Stanley
Singh, Kevin
Bhagwandass, Neal
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Miliary tuberculosis, complicated by ARDS and septic shock, is a rare and lethal presentation of this disease.
Here we present a case of such a patient, following which we discuss the management of tuberculosis in the ICU and some of the challenges that may be faced.
A young HIV negative female presented to us with an acute history of worsening shortness of breath on a background of weight loss, nonproductive cough, and fever.
CXR and CT scan showed bilateral miliary type opacities and the patient was admitted to the hospital.
Within forty-eight hours of admission she became hypoxemic and was intubated and transferred to the ICU.
There she experienced worsening organ dysfunction and developed circulatory shock.
Despite escalating doses of noradrenaline, she continued to decline and died before specific anti-TB treatment could be started.
Timely diagnosis and treatment initiation are the keys to improving outcomes in critically ill TB patients.
However there are many challenges in doing so, especially in a general ICU located in a country with a low TB incidence.
American Psychological Association (APA)
Singh, Keevan& Hyatali, Saara& Giddings, Stanley& Singh, Kevin& Bhagwandass, Neal. 2017. Miliary Tuberculosis Presenting with ARDS and Shock: A Case Report and Challenges in Current Management and Diagnosis. Case Reports in Critical Care،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144464
Modern Language Association (MLA)
Singh, Keevan…[et al.]. Miliary Tuberculosis Presenting with ARDS and Shock: A Case Report and Challenges in Current Management and Diagnosis. Case Reports in Critical Care No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1144464
American Medical Association (AMA)
Singh, Keevan& Hyatali, Saara& Giddings, Stanley& Singh, Kevin& Bhagwandass, Neal. Miliary Tuberculosis Presenting with ARDS and Shock: A Case Report and Challenges in Current Management and Diagnosis. Case Reports in Critical Care. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144464
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144464