Active pulmonary tuberculosis presenting with acute respiratory failure
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 dia...
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Format: | Article |
Language: | English |
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Wiley
2019-10-01
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Series: | Respirology Case Reports |
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Online Access: | https://doi.org/10.1002/rcr2.460 |
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author | Satish Chandra Kilaru Sudhir Prasad Hemanth Kilaru Raghavender Reddy Anneela Ashfaq Hasan Eshwar Chandra Nandury |
author_facet | Satish Chandra Kilaru Sudhir Prasad Hemanth Kilaru Raghavender Reddy Anneela Ashfaq Hasan Eshwar Chandra Nandury |
author_sort | Satish Chandra Kilaru |
collection | DOAJ |
description | 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. |
first_indexed | 2024-12-20T19:42:50Z |
format | Article |
id | doaj.art-d64bcad2b3e44b9b84d89b0138e510cb |
institution | Directory Open Access Journal |
issn | 2051-3380 |
language | English |
last_indexed | 2024-12-20T19:42:50Z |
publishDate | 2019-10-01 |
publisher | Wiley |
record_format | Article |
series | Respirology Case Reports |
spelling | doaj.art-d64bcad2b3e44b9b84d89b0138e510cb2022-12-21T19:28:29ZengWileyRespirology Case Reports2051-33802019-10-0177n/an/a10.1002/rcr2.460Active pulmonary tuberculosis presenting with acute respiratory failureSatish Chandra Kilaru0Sudhir Prasad1Hemanth Kilaru2Raghavender Reddy Anneela3Ashfaq Hasan4Eshwar Chandra Nandury5Department of Respiratory Medicine Prathima Institute of Medical Sciences Karimnagar IndiaInternal Medicine, Pulmonology and Critical Care Medicine Global Hospitals Hyderabad IndiaDepartment of Respiratory Medicine Prathima Institute of Medical Sciences Karimnagar IndiaDepartment of Respiratory Medicine Prathima Institute of Medical Sciences Karimnagar IndiaRespiratory Medicine Deccan College of Medical Sciences Hyderabad IndiaDepartment of Radiology Virinchi Hospitals Hyderabad IndiaFour 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.https://doi.org/10.1002/rcr2.460Active tuberculosisbronchogenic pulmonary tuberculosisIndiarespiratory failure |
spellingShingle | Satish Chandra Kilaru Sudhir Prasad Hemanth Kilaru Raghavender Reddy Anneela Ashfaq Hasan Eshwar Chandra Nandury Active pulmonary tuberculosis presenting with acute respiratory failure Respirology Case Reports Active tuberculosis bronchogenic pulmonary tuberculosis India respiratory failure |
title | Active pulmonary tuberculosis presenting with acute respiratory failure |
title_full | Active pulmonary tuberculosis presenting with acute respiratory failure |
title_fullStr | Active pulmonary tuberculosis presenting with acute respiratory failure |
title_full_unstemmed | Active pulmonary tuberculosis presenting with acute respiratory failure |
title_short | Active pulmonary tuberculosis presenting with acute respiratory failure |
title_sort | active pulmonary tuberculosis presenting with acute respiratory failure |
topic | Active tuberculosis bronchogenic pulmonary tuberculosis India respiratory failure |
url | https://doi.org/10.1002/rcr2.460 |
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