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.

Piastra, M., Picconi, E., Morena, T. C., Valentini, P., Buonsenso, D., Conti, G., Antonelli, M., Wolfler, A. M., Chidini, G., Pons-Odena, M., De Pascale, G., Miliary tuberculosis leading to acute respiratory distress syndrome: Clinical experience in pediatric intensive care, <<PEDIATRIC PULMONOLOGY>>, 2019; 54 (12): 2003-2010. [doi:10.1002/ppul.24510] [http://hdl.handle.net/10807/147839]

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

Piastra, Marco;Picconi, Enzo;Morena, Tony Christian;Valentini, Piero;Buonsenso, Danilo;Conti, Giorgio;Antonelli, Massimo;De Pascale, Gennaro
2019

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.
2019
Inglese
Piastra, M., Picconi, E., Morena, T. C., Valentini, P., Buonsenso, D., Conti, G., Antonelli, M., Wolfler, A. M., Chidini, G., Pons-Odena, M., De Pascale, G., Miliary tuberculosis leading to acute respiratory distress syndrome: Clinical experience in pediatric intensive care, <<PEDIATRIC PULMONOLOGY>>, 2019; 54 (12): 2003-2010. [doi:10.1002/ppul.24510] [http://hdl.handle.net/10807/147839]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/147839
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