Sundaralingam A, Potter J L, White V L C, Emmanuel J
Royal London Hospital, Barts Health NHS Trust, London, UK.
BMJ Case Rep. 2014 Apr 19;2014:bcr2013202947. doi: 10.1136/bcr-2013-202947.
A young Bangladeshi woman presented to the emergency department with vaginal discharge on a history of fevers and rigours. Although initially treated for pelvic inflammatory disease, the patient rapidly developed respiratory failure with acute respiratory distress syndrome. An axillary biopsy and a high-resolution CT of the chest confirmed miliary tuberculosis (TB). She was initiated on anti-TB medication and made a rapid recovery.
一名年轻的孟加拉国女性因发热和寒战伴阴道分泌物增多就诊于急诊科。尽管最初按盆腔炎进行治疗，但患者迅速发展为呼吸衰竭并伴有急性呼吸窘迫综合征。腋窝活检及胸部高分辨率CT证实为粟粒性肺结核。她开始接受抗结核药物治疗并迅速康复。
