Diagnosis and management of severe pulmonary and extrapulmonary tuberculosis in critically ill patients: A mini review for clinicians.

Dominic Ti Ming Tan, Kay Choong See
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Abstract

Among critically ill patients, severe pulmonary and extrapulmonary tuberculosis has high morbidity and mortality. Yet, it is a diagnostic challenge given its nonspecific clinical symptoms and signs in early stages of the disease. In addition, management of severe pulmonary and extrapulmonary tuberculosis is complicated given the high risk of drug-drug interactions, drug-disease interactions, and adverse drug reactions. To help clinicians acquire an up-to-date approach to severe tuberculosis, this paper will provide a narrative review of contemporary diagnosis and management of severe pulmonary and extrapulmonary tuberculosis in critically ill patients.

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重症患者严重肺结核和肺外结核病的诊断与管理:临床医生小综述。
在危重病人中,严重肺结核和肺外结核的发病率和死亡率都很高。然而,由于肺结核早期的临床症状和体征并无特异性,因此在诊断上是一个难题。此外,由于药物间相互作用、药物与疾病间相互作用和药物不良反应的风险较高,严重肺结核和肺外结核的治疗也很复杂。为了帮助临床医生掌握治疗重症肺结核的最新方法,本文将对重症患者重症肺结核和肺外结核的当代诊断和管理进行叙述性综述。
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