Miliary Tuberculosis presenting with Acute Respiratory Distress Syndrome: A case report

Lalita Fernandes, Rohit Vadala, Anthony M Mesquita


Tuberculosis is one of the most important health problems in the developing world. Miliary tuberculosis particularly is a major killer disease if not diagnosed and treated early. The natural history of miliary tuberculosis is variable with most of the patients having sub-acute or chronic disease while some have acute presentation with rapid clinical deterioration and death. Miliary tuberculosis presenting with acute respiratory distress syndrome (ARDS) requiring mechanical ventilation is rare. Awareness of the clinical presentation helps in early diagnosis and management of the disease. We report a case of ARDS due to Miliary tuberculosis in a young immune-competent female with no co-morbidities who succumbed to her illness.


Miliary Tuberculosis, ARDS, Mortality, Anti-tubercular therapy.

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