Pulmonary tuberculosis presenting as acute respiratory distress syndrome and pulmonary embolism

N. Dhamecha, Qury Nagadia, Anurag Gupta, Nehal H. Patel, R. Thanvi, Ghosha Pandav
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Abstract

This series describes six pediatric cases who presented as severe acute respiratory illness during the pandemic of COVID-19 with high D-dimer levels. All six patients tested negative for novel coronavirus. They were diagnosed as having tuberculosis (TB) on detailed investigations; high D-dimer levels are one of the most important indicators of the pulmonary embolism. Pulmonary embolism is a rare presentation of TB, and this study emphasizes the need of keeping TB as an important differential diagnosis of those who present as acute respiratory distress syndrome.
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肺结核表现为急性呼吸窘迫综合征和肺栓塞
本系列报道了6例在COVID-19大流行期间表现为严重急性呼吸道疾病且d -二聚体水平高的儿科病例。所有六名患者的新型冠状病毒检测结果均为阴性。经详细调查,他们被诊断为患有肺结核;高d -二聚体水平是肺栓塞最重要的指标之一。肺栓塞是结核病的一种罕见表现,本研究强调需要将结核病作为急性呼吸窘迫综合征患者的重要鉴别诊断。
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