Miliary tuberculosis with pulmonary and extrapulmonary component complicated with acute respiratory distress syndrome.
- Resource Type
- Case Study
- Authors
- Barman, Bhupen; Tiewsoh, Iadarilang; Lynrah, Kyrshanlang G.; Wankhar, Baphira; Beyong, Taso; Issar, Neel Kanth
- Source
- Journal of Family Medicine & Primary Care. Jul-Sep2017, Vol. 6 Issue 3, p688-690. 3p.
- Subject
- *TUBERCULOSIS diagnosis
*MYCOBACTERIUM tuberculosis
*ADULT respiratory distress syndrome
*ANTITUBERCULAR agents
*ARTIFICIAL respiration
*STEROID drugs
- Language
- ISSN
- 2249-4863
Miliary tuberculosis results from the lymphohematogenous spread of the tubercle bacilli to the vascular beds in the lungs and other organs. Diagnosis is made by clinical judgment and chest X-ray showing miliary mottling of the lung fields. Another imaging study like computed tomography imaging of the lungs and abdomen can also be supportive in diagnosing miliary tuberculosis. We present a case of miliary tuberculosis in an immunocompetent young male with atypical manifestation of a left-sided pleural effusion and a life-threatening complication of acute respiratory distress syndrome during hospital stay which required noninvasive mechanical ventilation and steroids therapy, along with antitubercular medication. [ABSTRACT FROM AUTHOR]