Miliary tuberculosis leading to acute respiratory distress syndrome: Clinical experience in pediatric intensive care

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Abstract

Acute respiratory distress syndrome (ARDS) represents a rare complication of miliary tuberculosis (TB) in the adult setting, and it is even less common in the pediatric population. The presence of comorbidities and the possibility of a delayed diagnosis may further impair the clinical prognosis of critically ill patients with disseminated TB and acute respiratory failure. In this report, we present a case series of five pediatric patients with miliary TB and ARDS, where rescue and multimodal respiratory support strategies have been applied with a favorable outcome in more than half of them. The burden of miliary TB over time on a general pediatric intensive care unit-including two ARDS patients-is also illustrated.

Original languageEnglish
Pages (from-to)2003-2010
Number of pages8
JournalPediatric Pulmonology
Volume54
Issue number12
DOIs
Publication statusPublished - Dec 2019

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