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  • Title: Adult respiratory distress syndrome and miliary tuberculosis.
    Author: Dugernier TL, Brasseur A, Shabani J.
    Journal: Acta Clin Belg; 1990; 45(3):188-93. PubMed ID: 2166416.
    Abstract:
    Miliary tuberculosis presenting as fatal adult respiratory distress syndrome is reported in a 69-year-old man. Idiopathic thrombocytopenic purpura led to splenectomy 2 years before admission and was currently treated with corticosteroids. Moderate dyspnea, a dry cough and weight loss were presenting clinical features, preceding respiratory failure by only a few days. In these patients with atypical symptoms early diagnosis and prompt antituberculous chemotherapy are life-saving. The diagnosis of miliary tuberculosis should be systematically considered in ARDS of unknown origin.
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