Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Miliary Tuberculosis not Affecting the Lungs but Complicated by Acute Respiratory Distress Syndrome
Isao MIYOSHIMasanori DAIBATANaoto KURODAHirokuni TAGUCHIHideaki ENZAN
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 6 Pages 622-624

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Abstract

A 61-year-old woman was admitted with fever and headache of 10-day duration. She was found to have anemia, jaundice, and signs of meningitis. The erythrocyte sedimentation rate was increased and the tuberculin skin test was positive. A provisional diagnosis of miliary tuberculosis was made and antituberculous therapy was started, although no miliary lesions were seen on chest radiography. However, her condition rapidly deteriorated with diffuse opacification of both lungs and she died on the 7th hospital day. Postmortem examination revealed miliary tuberculosis in several organs but not in the lungs with acute respiratory distress syndrome accounting for the lung pathology. It should be noted that on rare occasions the lungs may not be involved by miliary tuberculosis.

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© 2005 by The Japanese Society of Internal Medicine
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