Mofredj A, Guérin J M, Kidouche R, Masmoudi R, Madec Y
Service de réanimation polyvalente, hôpital Laënnec, Creil, France.
Ann Fr Anesth Reanim. 1996;15(8):1203-6. doi: 10.1016/s0750-7658(97)85880-7.
Acute respiratory distress syndrome (ARDS) is a rare but severe complication of miliary tuberculosis, which may occur even under antituberculous therapy. Even with adequate treatment, its mortality is close to 70%, and if associated with pancytopenia, it may reach 100%. Underlying diseases, delayed diagnosis and additional complications are factors of poor prognosis. We report a case of a patient infected with the human immunodeficiency virus who experienced pancytopenia and ARDS associated with miliary tuberculosis. The patient recovered under antituberculous chemotherapy.
急性呼吸窘迫综合征（ARDS）是粟粒性肺结核一种罕见但严重的并发症，即使在抗结核治疗过程中也可能发生。即便给予充分治疗，其死亡率仍接近70%，若合并全血细胞减少，死亡率可能达100%。基础疾病、诊断延误及其他并发症是预后不良的因素。我们报告一例感染人类免疫缺陷病毒的患者，该患者出现了与粟粒性肺结核相关的全血细胞减少和ARDS。患者在抗结核化疗下康复。
