Miliary Tuberculosis and Adult Respiratory Distress Syndrome
Authors: Alan Desilva, James Gibson, David N. Gilbert
Journal: Annals of Internal Medicine (1977)

Comments and Correction1 May 1977Miliary Tuberculosis and Adult Respiratory Distress SyndromeALAN DESILVA, M.D., JAMES GIBSON, M.D., DAVID N. GILBERT, M.D.ALAN DESILVA, M.D.Search for more papers by this author, JAMES GIBSON, M.D.Search for more papers by this author, DAVID N. GILBERT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-86-5-659 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Recently Huseby and Hudson reported in this journal three fatal cases of miliary tuberculosis in patients who developed the adult respiratory distress syndrome and disseminated intravascular coagulation, and died. To our knowledge, the patient whose case is described below is the first to survive these complications of tuberculosis (1, 2).A 52-year-old, white man, previously in good health but with a long history of alcohol abuse, was admitted because of fever, mental confusion, and progressive respiratory distress of 2 weeks' duration.The patient was confused, febrile to 38.9 °C, and in respiratory distress. Bilateral expiratory wheezes and...References References1. HUSEBY J and HUDSON L: Miliary tuberculosis and adult respiratory distress syndrome. Ann Intern Med 85:609-611, 1976 LinkGoogle Scholar2. HOMAN W, HARMAN E, and BRAUN N: Miliary tuberculosis presenting as acute respiratory failure; treatment of membrane oxygenation and ventricle pump. Chest 67:366-369, 1975 CrossrefMedlineGoogle Scholar3. HEINLE E, JENSEN W, and WESTERMAN M: Diagnostic usefulness of marrow biopsy in disseminated tuberculosis. Am Rev Respir Dis 91:701-705, 1965 MedlineGoogle Scholar4. PEASE G: Granulomatous lesions in the bone marrow. Blood 11:720-734, 1956 CrossrefMedlineGoogle Scholar1. SUTER T, FAIRLEY H, and ISENBURG M: Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med 292:284-289, 1975 CrossrefMedlineGoogle Scholar2. KIRBY R, DOWNS J, and CIVETTA J: High level positive end expiratory pressure (PEEP) in acute respiratory insufficiency. Chest 67:156-163, 1975 CrossrefMedlineGoogle Scholar3. COLEBATCH J, SMITH M, and NG C: Increased elastic recoil as a determinant of pulmonary barotrauma in divers. Respir Physiol 26:55-64, 1976 CrossrefMedlineGoogle Scholar4. KUMAR A, PONTOPPIDAN H, and FALKE K: Pulmonary barotrauma during mechanical ventilation. Crit Care Med 1:181-186, 1973 CrossrefMedlineGoogle Scholar5. BONE R: Pulmonary barotrauma complicating mechanical ventilation (abstract). Am Rev Respir Dis 113:188, 1976 Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ALAN DESILVA, M.D.; JAMES GIBSON, M.D.; DAVID N. GILBERT, M.D. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTuberculosis in the Intensive Care UnitMiliary tuberculosis and the adult respiratory distress syndromeThe Clinical Entity of Adult Respiratory Distress Syndrome: Definition, Prediction, and PrognosisCAUSES OF THE ADULT RESPIRATORY DISTRESS SYNDROME—CLINICAL RECOGNITIONThe adult respiratory distress syndrome associated with miliary tuberculosisMiliary TuberculosisThe Adult Respiratory Distress Syndrome Associated with Miliary Tuberculosis 1 May 1977Volume 86, Issue 5 Page: 659-660 Keywords Acute respiratory distress syndrome Alcoholism Disseminated intravascular coagulation Fevers Miliary tuberculosis ePublished: 1 December 2008 Issue Published: 1 May 1977 PDF downloadLoading ...