Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
BMJ Case Rep. 2021 Jan 25;14(1):e237664. doi: 10.1136/bcr-2020-237664.
Pulmonary tuberculosis (TB) may present in the form of parenchymal disease or extraparenchymal disease. Patients with TB as a primary cause of respiratory failure requiring mechanical ventilation have been reported to have mortality rates ranging between 47% and 80%. However, acute respiratory distress syndrome (ARDS) as a presentation of TB is rarely reported. We describe two cases of immunocompetent women presenting with ARDS. They were initially worked up for viral aetiologies in view of the ongoing COVID-19 pandemic but were later diagnosed to have microbiologically proven parenchymal pulmonary TB. One of our patients succumbed to nosocomial pneumonia, while the other was discharged to follow-up.
肺结核（TB）可表现为实质疾病或肺外疾病。有报道称，因呼吸衰竭需要机械通气而以 TB 为主要病因的患者死亡率在 47%至 80%之间。然而，以 TB 为表现的急性呼吸窘迫综合征（ARDS）很少见。我们描述了两例免疫功能正常的女性 ARDS 患者。鉴于持续的 COVID-19 大流行，她们最初被认为是病毒病因，但后来被诊断为经微生物学证实的肺实质肺结核。我们的一位患者死于医院获得性肺炎，另一位患者出院随访。
