ALAN DESILVA, M.D.; JAMES GIBSON, M.D.; DAVID N. GILBERT, M.D.
To the editor: Recently Huseby and Hudson reported in this journal three fatal cases of miliary tuberculosis in patients who developed the adult respiratory distress syndrome and disseminated intravascular coagulation, and died. To our knowledge, the patient whose case is described below is the first to survive these complications of tuberculosis (1, 2).
A 52-year-old, white man, previously in good health but with a long history of alcohol abuse, was admitted because of fever, mental confusion, and progressive respiratory distress of 2 weeks' duration.
The patient was confused, febrile to 38.9 °C, and in respiratory distress. Bilateral expiratory wheezes and
DESILVA A, GIBSON J, GILBERT DN. Miliary Tuberculosis and Adult Respiratory Distress Syndrome. Ann Intern Med. ;86:659–660. doi: 10.7326/0003-4819-86-5-659
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Published: Ann Intern Med. 1977;86(5):659-660.
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