JOHN T. HSU, M.D.; JOSEPH P. PADULA, M.D.; STEPHEN F. RYAN, M.D.
HSU JT, PADULA JP, RYAN SF. Miliary Tuberculosis and Respiratory Distress Syndrome. Ann Intern Med. 1978;89:140-141. doi: 10.7326/0003-4819-89-1-140_2
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Published: Ann Intern Med. 1978;89(1):140-141.
To the editor: In the reported cases of miliary tuberculosis associated with adult respiratory distress syndrome, histologic findings have not been discussed (1). We report here an additional case with the emphasis on the histopathologic features. Its possible pathogenesis is discussed in relation to the experimental work of one of the authors.
A 64-year-old nonsmoking, alcoholic, black woman with chemical diabetes was admitted with a 2-month history of malaise followed by 1 week of fever and cough that produced a small amount of white sputum. She was febrile, tachycardic, and tachypneic. Diffuse pulmonary rales and a 25-cm liver were noted.
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