[Acute respiratory distress syndrome and pancytopenia during miliary tuberculosis in a HIV positive patient].
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.
Mofredj
A
A
Service de réanimation polyvalente, hôpital Laënnec, Creil, France.
Guérin
J M
JM
Kidouche
R
R
Masmoudi
R
R
Madec
Y
Y
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D010198:Pancytopenia / Q000188:drug therapy / Q000209:etiology*; D011379:Prognosis; D012128:Respiratory Distress Syndrome / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000188:drug therapy
D000995:Antitubercular Agents
SDRA et pancytopénie au cours d'une miliaire tuberculeuse chez un patient VIH positif.