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Active pulmonary tuberculosis presenting with acute respiratory failure

Year: 2019

Type: article

Abstract: 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.

Source: Respirology Case Reports

DOI: 10.1002/rcr2.460

Authors: Satish Chandra Kilaru, Sudhir Prasad, Hemanth Kilaru, Raghavender Reddy Anneela, Ashfaq Hasan, Eshwar Chandra Nandury

Institutions: Global Hospitals, Deccan College of Medical Sciences

Language: English

Topic: Tuberculosis Research and Epidemiology

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000