Open AccessMiliary tuberculosis with pulmonary and extrapulmonary component complicated with acute respiratory distress syndrome
Author(s) -
Bhupen Barman,
Iadarilang Tiewsoh,
Kyrshanlang G Lynrah,
Baphiralyne Wankhar,
Taso Beyong,
Neel Kanth Issar
Publication year - 2017
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/2249-4863.222031
Subject(s) - medicine , miliary tuberculosis , pleural effusion , respiratory distress , tuberculosis , complication , acute respiratory distress , lung , lung infection , radiology , surgery , pathology
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.