Assuntos
Tosse/patologia , Pulmão/patologia , Tuberculose Pulmonar/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Diagnóstico Diferencial , Dispneia , Humanos , Pulmão/diagnóstico por imagem , Masculino , Radiografia Torácica , Tomografia Computadorizada por Raios X , Teste Tuberculínico , Tuberculose Pulmonar/diagnóstico por imagemRESUMO
Despite an overall decline in the incidence of tuberculosis (TB), the percentage of cases representing miliary TB has remained stable. We report 2 cases of fatal miliary TB that remained unrecognized until autopsy, occurring within a 6-month period at 1 Detroit institution. These cases represent the wide range of presentation of miliary TB, from an acute fulminant course to a cryptic prolonged course with subtle clinical findings. Both cases shared a common end point with the development of adult respiratory distress syndrome.
Assuntos
Erros de Diagnóstico , Síndrome do Desconforto Respiratório/etiologia , Tuberculose Miliar/diagnóstico , Autopsia , Evolução Fatal , Feminino , Humanos , Pessoa de Meia-Idade , Tuberculose Miliar/complicaçõesRESUMO
Pulmonary complications are a significant cause of morbidity and mortality in hematopoietic stem cell transplant recipients. Pulmonary infiltrates in such patients pose a major challenge for clinicians because of the wide differential diagnosis of infectious and noninfectious conditions. It is rare for the diagnosis to be made by chest radiograph, and commonly these patients will need further invasive and noninvasive studies to confirm the etiology of the pulmonary infiltrates. This review describes the role of the different diagnostic tools available to reach a diagnosis in a timely manner in this patient population.
