Survival in miliary tuberculosis complicated by respiratory distress.
An immigrant from India presented with a three months history of fever, weight loss, cough and hepatomegaly which were rapidly diagnosed as miliary tuberculosis when gastric lavage revealed acid-fast bacilli. One day after antituberculous therapy was commenced, the patient developed adult respiratory distress syndrome and disseminated intravascular coagulation which were successfully treated by corticosteroids, fresh frozen plasma and mechanical ventilation. Ten other survivors of miliary tuberculosis and adult respiratory distress syndrome were reviewed and the association of adult respiratory distress syndrome with the antimicrobial therapy is discussed.
Skurnik
Y
Y
Department of Medicine A, Kaplan Hospital, Rehovot, Israel.
Zhornicky
T
T
Schattner
A
A
D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D011899:Ranitidine / Q000627:therapeutic use; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000628:therapy; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D011899:Ranitidine; D008775:Methylprednisolone