[Acute respiratory distress syndrome of tuberculous origin in an intensive care unit. Clinical presentation and course (author's transl)].
The authors have observed 6 cases of acute respiratory distress syndrome (ARDS) of tuberculous origin. The condition presented as pulmonary oedema in 4 cases and as extensive bilateral pneumonia in 2. Pulmonary oedema was treated by artificial ventilation with intermittent positive pressure in 2 patients who died, and by continuous positive airway pressure in 2 patients who survived. The 2 patients with pneumonia survived without respiratory assistance. In these patients with atypical symptoms, early diagnosis (which may involve liver and bone marrow biopsies) and immediate therapeutic measures are life-saving. The diagnosis of tuberculosis should be systematically considered in adult ARDS, especially i patients with pulmonary oedema of unknown origin.
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D003422:Critical Care; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D007385:Intermittent Positive-Pressure Ventilation; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000209:etiology; D011175:Positive-Pressure Respiration; D011654:Pulmonary Edema / Q000209:etiology; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000628:therapy; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy
Syndrome de détresse respiratoire aiguë d'origine tuberculeuse en réanimation. Aspects symptomatiques et évolutifs.