Pulmonary Tuberculosis Presenting as Acute Respiratory Failure and Unilateral Complete Lung Collapse: Two Case Reports With Review of Literature

Author:

Rai Deependra Kumar1,Bhushan Gupta Vatsal1,Sharma Priya1,Harish Ameet1

Affiliation:

1. Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Patna, India

Abstract

Massive haemoptysis, which can result in abrupt respiratory failure, is a potentially fatal consequence of pulmonary tuberculosis. Radiologically, it can present as a complete collapse of one lung due to endobronchial clot formation. Here, the authors report two cases, one of whom was a female who was pregnant and near term, who presented with massive haemoptysis followed by severe respiratory distress. Fibre optic bronchoscopy was performed in both cases, and clots were retrieved. One of the patients required intubation and invasive mechanical ventilation. The procedure was technically difficult because of the acute hypoxaemia, necessitating a team of pulmonologists and anaesthetists. Bronchoalveolar lavage enabled the authors to clinch the diagnosis. Post-procedure, both patients showed rapid clinical and radiological improvement. In resource-limited settings where rigid bronchoscopy is not available, fibre optic bronchoscopy can be performed for clot retrieval, as it can be a life-saving procedure for the patient.

Publisher

European Medical Group

Subject

General Medicine

Reference13 articles.

1. Ibrahim WH. Massive haemoptysis: the definition should be revised. Eur Resp J. 2008;32(4):1131-2.

2. Arney KL et al. Airway obstruction arising from blood clot. Chest. 1999;115(1):293-300.

3. World Health Organization (WHO). Global tuberculosis report 2021. 2021. Available at: https://www.who.int/publications/i/item/9789240037021. Last accessed: 10 February 2022.

4. Prasad R et al. Lessons from patients with hemoptysis attending a chest clinic in India. Ann Thorac Med. 2009;4(1):10-2.

5. Adigun R, Singh R. Tuberculosis [Internet] (2023) Treasure Island: StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441916/. Last accessed: 15 March 2023.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3