怀孕少女肺结核所致急性呼吸窘迫综合征

Respiratory Medicine Extra Pub Date : 2006-01-01 DOI:10.1016/j.rmedx.2006.10.003

Maria José Santiago, Jesús López-Herce, Javier Adrián, Maite Echeverría, Amaya Bustinza, Santiago Mencía

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摘要

成人继发于结核病的急性呼吸窘迫综合征(ARDS)具有很高的死亡率。它在儿童中的表现是特殊的。我们报告一例15岁的怀孕少女，没有免疫缺陷，发展为急性呼吸窘迫综合征继发于结核病，需要机械通气和吸入一氧化氮治疗，并呈现良好的临床过程。我们的结论是，尽管非常罕见，但结核必须排除在任何未知原因的ARDS患儿中，因为早期诊断和治疗可显著改善预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Acute respiratory distress syndrome due to tuberculosis in a pregnant adolescent

The acute respiratory distress syndrome (ARDS) secondary to tuberculosis in adults carries a high mortality. Its presentation in children is exceptional.

We report the case of a pregnant 15-year-old adolescent with no immunodeficiency who developed ARDS secondary to tuberculosis, requiring mechanical ventilation and inhaled nitric oxide treatment and presenting a favourable clinical course.

We conclude that, although very infrequent, tuberculosis must be excluded in any child with ARDS of unknown cause as early diagnosis and treatment significantly improves the prognosis.

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Respiratory Medicine Extra

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