• Der Anaesthesist · Oct 2018

    Case Reports

    [Septic shock in a female patient with miliary tuberculosis].

    • J Fichte, V Neef, M Schöffner, and D Bremerich.
    • Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Agaplesion Markus Krankenhaus, Wilhelm-Epstein-Str. 4, 60431, Frankfurt, Deutschland.
    • Anaesthesist. 2018 Oct 1; 67 (10): 773-779.

    AbstractThis article reports the fulminant course of a pneumogenic sepsis with severe ARDS (acute respiratory failure) in a 36-year-old female Indian patient, who died within 14 h after admission to the intensive care unit due to a multiorgan failure. During treatment the diagnosis of a miliary tuberculosis was suspected but was only confirmed by the autopsy. Due to high hygiene standards, miliary tuberculosis as the cause of septic shock is rare in Europe. Only 1-2% of the patients with pulmonary miliary tuberculosis develop an ARDS with a mortality of 60-90%. Based on this case the diagnostics as well as treatment of the patient are described. Furthermore, the management of an open tuberculosis on an intensive care unit is explained.

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