Immunoadjuvant Therapy and Noninvasive Ventilation for Acute Respiratory Failure in Lung Tuberculosis: A Case Study.
Acute respiratory failure caused by pulmonary tuberculosis is a rare event but with a high mortality even while receiving mechanical ventilatory support. We report the case of a young man with severe pulmonary tuberculosis refractory to conventional therapy who successfully overcame the critical period of his condition using noninvasive ventilation and immunoadjuvant therapy that included three doses of etanercept 25 mg subcutaneously. We conclude that the use of etanercept along with antituberculosis treatment appears to be safe and effective in patients with pulmonary tuberculosis presenting with acute respiratory failure.
Departamento de Medicina Interna, Christus Muguerza Hospital Del Parque, Calle Dr. Pedro Leal Rodriguez 1802, Colonia Centro, 31000 Chihuahua, CHIH, Mexico.
René Agustín
RA
Flores-Franco
Departamento de Medicina Interna, Christus Muguerza Hospital Del Parque, Calle Dr. Pedro Leal Rodriguez 1802, Colonia Centro, 31000 Chihuahua, CHIH, Mexico.
Dahyr Alberto
DA
Olivas-Medina
Facultad de Medicina, Universidad Autónoma de Chihuahua, Circuito Universitario Campus II, 31240 Chihuahua, CHIH, Mexico.
Cesar Francisco
CF
Pacheco-Tena
Servicios de Salud de Chihuahua, Sistema Estatal de Salud, Calle Tercera No. 604, Piso 3 Colonia Centro, 31000 Chihuahua, CHIH, Mexico.
Jorge
J
Duque-Rodríguez