以急性呼吸窘迫综合征为表现的肺结核。
Pulmonary tuberculosis presenting as acute respiratory distress syndrome.
机构信息
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
出版信息
BMJ Case Rep. 2021 Jan 25;14(1):e237664. doi: 10.1136/bcr-2020-237664.
Abstract
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.
摘要
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。
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