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粟粒性肺结核合并急性呼吸窘迫综合征病程中的弥散性血管内凝血

Disseminated Intravascular Coagulation during a Course of Miliary Tuberculosis with Acute Respiratory Distress Syndrome.

作者信息

Sharma Kapil, Jaryal Ajay, Sharma Sumita, Rana Lokesh

机构信息

Department of General Medicine, AIIMS, Bilaspur, Himachal Pradesh, India.

Department of Biochemistry, AIIMS, Bilaspur, Himachal Pradesh, India.

出版信息

J Glob Infect Dis. 2024 May 24;16(3):120-122. doi: 10.4103/jgid.jgid_202_23. eCollection 2024 Jul-Sep.

Abstract

Miliary tuberculosis (TB) can occasionally lead to acute respiratory distress syndrome (ARDS) and disseminated intravascular coagulation (DIC). In this case report, we present the case of an 18-year-old male who was diagnosed with miliary TB based on miliary shadows on X-ray and computed tomography of the chest, as well as positivity for mycobacterium TB in endotracheal aspirate by cartridge-based nucleic acid amplification. The patient's hospital stay was complicated by ARDS and DIC, which was successfully managed with ventilatory support, administration of antitubercular treatment, systemic corticosteroids, and blood products.

摘要

粟粒性肺结核偶尔可导致急性呼吸窘迫综合征(ARDS)和弥散性血管内凝血(DIC)。在本病例报告中,我们介绍了一名18岁男性患者,该患者根据胸部X线和计算机断层扫描显示的粟粒状阴影以及基于盒式核酸扩增的气管内吸出物中结核分枝杆菌呈阳性而被诊断为粟粒性肺结核。患者住院期间并发ARDS和DIC,通过通气支持、抗结核治疗、全身使用糖皮质激素和血液制品成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6310/11606543/4f74dd926404/JGID-16-120-g001.jpg

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