Miliartuberkulose und ARDS bei einem Säugling

Autor:	Roland Hentschel, Marcus Krüger, Joachim Woenckhaus, Matthias Brandis, Reinhard Berner
Rok vydání:	1998
Předmět:	medicine.medical_specialty Miliary tuberculosis ARDS business.industry Respiratory disease Tuberculin Autopsy medicine.disease Gastroenterology Tuberculous meningitis Surgery Pneumothorax Internal medicine Pediatrics Perinatology and Child Health medicine business Complication
Zdroj:	Klinische Pädiatrie. 210:425-427
ISSN:	1439-3824 0300-8630
DOI:	10.1055/s-2008-1043917
Popis:	We report on a 7 months old infant, who was admitted to our hospital with the tentative diagnosis of interstitial pneumonia. The infant was treated with erythromycin because of a positive mycoplasma antigen test in the nasopharyngeal mucus and the radiological findings. A tension pneumothorax led to rapid respiratory deterioration and a severe ARDS developed. A sustained respiratory stabilization could not be achieved. The diagnosis miliary tuberculosis was detected on autopsy. A parenchymal focus was found subpleurally in the left lung with a massive hematogenous spread and a tuberculous meningitis. The source of infection could not be identified in the family or in persons known to have had contact to the infant. The tuberculin skin test (PPD) was negative. Clinical, radiological and pathological findings are demonstrated.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::6c27054a87b811408d03e579d3923006 https://doi.org/10.1055/s-2008-1043917 Zobrazit plný text záznamu