Acute Respiratory Distress Syndrome Secondary to Pulmonary Tuberculosis: A Case Report and Literature Review

Rattagan Kajeekul MD 1 , Anupop Jitmuang MD 1

Affiliation : 1 Division of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Acute respiratory distress syndrome ( ARDS ) is an unusual and rare manifestation of pulmonary tuberculosis ( TB ). The mortality rate of TB with respiratory failure is high . We report a patient who had an initial manifestation mimicking severe bacterial pneumonia with ARDS not responding to antibacterial therapy . Acid - fast bacilli and M . tuberculosis isolates were identified from tracheal aspiration and bronchoalvelolar lavage . Intensive respiratory care and early anti - tuberculosis therapy provided a good clinical outcome .

Keywords : Pulmonary tuberculosis , Mycobacterium tuberculosis, Acute respiratory distress syndrome

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