Acute respiratory distress syndrome due to tuberculosis in a pregnant adolescent

Maria José Santiago, Jesús López-Herce, Javier Adrián, Maite Echeverría, Amaya Bustinza, Santiago Mencía
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Abstract

The acute respiratory distress syndrome (ARDS) secondary to tuberculosis in adults carries a high mortality. Its presentation in children is exceptional.

We report the case of a pregnant 15-year-old adolescent with no immunodeficiency who developed ARDS secondary to tuberculosis, requiring mechanical ventilation and inhaled nitric oxide treatment and presenting a favourable clinical course.

We conclude that, although very infrequent, tuberculosis must be excluded in any child with ARDS of unknown cause as early diagnosis and treatment significantly improves the prognosis.

怀孕少女肺结核所致急性呼吸窘迫综合征
成人继发于结核病的急性呼吸窘迫综合征(ARDS)具有很高的死亡率。它在儿童中的表现是特殊的。我们报告一例15岁的怀孕少女,没有免疫缺陷,发展为急性呼吸窘迫综合征继发于结核病,需要机械通气和吸入一氧化氮治疗,并呈现良好的临床过程。我们的结论是,尽管非常罕见,但结核必须排除在任何未知原因的ARDS患儿中,因为早期诊断和治疗可显著改善预后。
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