TY - JOUR
T1 - A case of miliary TB complicated by ARDS and pancytopenia
AU - Imrit, Kavita
AU - Green, Jaime
AU - Zitter, Jessica Nutik
AU - Swaminathan, Shobha
PY - 2007/6/1
Y1 - 2007/6/1
N2 - We present a case of a 35-year-old man with fever and pancytopenia, who had rapid progression to acute respiratory distress syndrome (ARDS), multiorgan failure, and disseminated intravascular coagulopathy secondary to disseminated tuberculosis (TB). Although both sputum and bronchoalveolar lavage (BAL) fluid smears were negative for acid-fast bacilli, the polymerase chain reaction (PCR) assay on the BAL fluid was positive for Mycobacterium tuberculosis. This case emphasizes the need to include TB in the differential for ARDS and the value of PCR testing of BAL fluid, especially in high-risk patients.
AB - We present a case of a 35-year-old man with fever and pancytopenia, who had rapid progression to acute respiratory distress syndrome (ARDS), multiorgan failure, and disseminated intravascular coagulopathy secondary to disseminated tuberculosis (TB). Although both sputum and bronchoalveolar lavage (BAL) fluid smears were negative for acid-fast bacilli, the polymerase chain reaction (PCR) assay on the BAL fluid was positive for Mycobacterium tuberculosis. This case emphasizes the need to include TB in the differential for ARDS and the value of PCR testing of BAL fluid, especially in high-risk patients.
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M3 - Article
AN - SCOPUS:34347373661
SN - 0194-259X
VL - 28
SP - 212
EP - 216
JO - Journal of Respiratory Diseases
JF - Journal of Respiratory Diseases
IS - 6
ER -
