Journal of Family Medicine and Primary Care

CASE REPORT
Year
: 2017  |  Volume : 6  |  Issue : 3  |  Page : 688--690

Miliary tuberculosis with pulmonary and extrapulmonary component complicated with acute respiratory distress syndrome


Bhupen Barman1, Iadarilang Tiewsoh1, Kyrshanlang G Lynrah1, Baphira Wankhar2, Taso Beyong1, Neel Kanth Issar1 
1 Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India
2 Department of Radiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India

Correspondence Address:
Dr. Bhupen Barman
Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong - 793 018, Meghalaya
India

Miliary tuberculosis results from the lymphohematogenous spread of the tubercle bacilli to the vascular beds in the lungs and other organs. Diagnosis is made by clinical judgment and chest X-ray showing miliary mottling of the lung fields. Another imaging study like computed tomography imaging of the lungs and abdomen can also be supportive in diagnosing miliary tuberculosis. We present a case of miliary tuberculosis in an immunocompetent young male with atypical manifestation of a left-sided pleural effusion and a life-threatening complication of acute respiratory distress syndrome during hospital stay which required noninvasive mechanical ventilation and steroids therapy, along with antitubercular medication.


How to cite this article:
Barman B, Tiewsoh I, Lynrah KG, Wankhar B, Beyong T, Issar NK. Miliary tuberculosis with pulmonary and extrapulmonary component complicated with acute respiratory distress syndrome.J Family Med Prim Care 2017;6:688-690


How to cite this URL:
Barman B, Tiewsoh I, Lynrah KG, Wankhar B, Beyong T, Issar NK. Miliary tuberculosis with pulmonary and extrapulmonary component complicated with acute respiratory distress syndrome. J Family Med Prim Care [serial online] 2017 [cited 2019 Sep 20 ];6:688-690
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=3;spage=688;epage=690;aulast=Barman;type=0