Corrigendum to 'Miliary Tuberculosis Presenting with ARDS and Shock: A Case Report and Challenges in Current Management and Diagnosis'
Autor: | Neal Bhagwandass, Saara Hyatali, Keevan Singh, Stanley Giddings, Kevin Singh |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Miliary tuberculosis ARDS business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid Case Report 030208 emergency & critical care medicine lcsh:RC86-88.9 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine medicine.disease 03 medical and health sciences 0302 clinical medicine Current management Shock (circulatory) medicine medicine.symptom Intensive care medicine business Corrigendum |
Zdroj: | Case Reports in Critical Care Case Reports in Critical Care, Vol 2018 (2018) |
ISSN: | 2090-6439 2090-6420 |
Popis: | Miliary tuberculosis, complicated by ARDS and septic shock, is a rare and lethal presentation of this disease. Here we present a case of such a patient, following which we discuss the management of tuberculosis in the ICU and some of the challenges that may be faced. A young HIV negative female presented to us with an acute history of worsening shortness of breath on a background of weight loss, nonproductive cough, and fever. CXR and CT scan showed bilateral miliary type opacities and the patient was admitted to the hospital. Within forty-eight hours of admission she became hypoxemic and was intubated and transferred to the ICU. There she experienced worsening organ dysfunction and developed circulatory shock. Despite escalating doses of noradrenaline, she continued to decline and died before specific anti-TB treatment could be started. Timely diagnosis and treatment initiation are the keys to improving outcomes in critically ill TB patients. However there are many challenges in doing so, especially in a general ICU located in a country with a low TB incidence. |
Databáze: | OpenAIRE |
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