Active pulmonary tuberculosis presenting with acute respiratory failure

Respirology Case Reports

Eshwar Chandra Nandury¹  Hemanth Kilaru²  Raghavender Reddy Anneela²  Satish Chandra Kilaru²  Sudhir Prasad³  Ashfaq Hasan⁴ 

[1] Department of Radiology Virinchi Hospitals Hyderabad India;Department of Respiratory Medicine Prathima Institute of Medical Sciences Karimnagar India;Internal Medicine, Pulmonology and Critical Care Medicine Global Hospitals Hyderabad India;Respiratory Medicine Deccan College of Medical Sciences Hyderabad India;

关键词: Active tuberculosis;    bronchogenic pulmonary tuberculosis;    India;    respiratory failure;   

DOI  :  10.1002/rcr2.460

来源: DOAJ

【 摘 要 】

Four patients with active pulmonary tuberculosis (PTB) presenting with respiratory failure are reported here. Bronchogenic PTB, simulating an acute febrile illness or diffuse interstitial lung disease with short duration of symptoms, as a cause of acute respiratory failure is less recognized. If diagnosed and treated early, it has good prognosis. Three of the four patients presented here had an acute presentation with fever, dyspnoea, and hypoxemia with diffuse infiltrative lesions on radiography, and the other younger patient presented predominantly with lobar consolidation. These patients presenting with respiratory failure required intensive care management, and a diagnosis was made with bronchoalveolar lavage fluid and transbronchial lung biopsy. All four patients promptly received antitubercular therapy, showed clinicoradiological improvement, and were stable at 1 year follow up.

【 授权许可】

Unknown