title: Miliary tuberculosis as a cause of acute empyema.
abstract: Adult respiratory distress syndrome (ARDS) and sepsis are known, life-threatening complications of miliary tuberculosis. This report describes a patient with miliary tuberculosis who rapidly developed an acute tuberculous empyema. She had a fulminant course culminating in ARDS, sepsis and subsequent death. This case highlights the rare association of acute empyema with miliary tuberculosis.
authors.affiliation: Vanderbilt University Medical Center, Nashville, Tenn., USA. james.runo@mcmail.vanderbilt.edu
authors.forename: James R
authors.initials: JR
authors.lastname: Runo
authors.forename: Derek C
authors.initials: DC
authors.lastname: Welch
authors.forename: Erik M
authors.initials: EM
authors.lastname: Ness
authors.forename: Ivan M
authors.initials: IM
authors.lastname: Robbins
authors.forename: Aaron P
authors.initials: AP
authors.lastname: Milstone
mesh_terms: D000208:Acute Disease; D000368:Aged; D015897:Comorbidity; D003424:Crohn Disease / Q000453:epidemiology / Q000473:pathology; D004654:Empyema, Tuberculous / Q000453:epidemiology / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009102:Multiple Organ Failure / Q000209:etiology; D010996:Pleural Effusion / Q000382:microbiology; D012772:Shock, Septic / Q000209:etiology; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000453:epidemiology / Q000473:pathology