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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Main Authors: Satish Chandra Kilaru, Sudhir Prasad, Hemanth Kilaru, Raghavender Reddy Anneela, Ashfaq Hasan, Eshwar Chandra Nandury
Format: Article
Language:English
Published: Wiley 2019-10-01
Series:Respirology Case Reports
Subjects:
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.
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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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