ArticleBMC infectious diseases2012
Predictors and outcome of patients with acute respiratory distress syndrome caused by miliary tuberculosis: a retrospective study in Chongqing, China.
Article in BMC infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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24 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- The effect of diabetes on the risk and mortality of acute lung injury/acute respiratory distress syndrome: A meta-analysis.Medicine · 2019Pooled it
- Successful treatment by high dose glucocorticoid of miliary tuberculosis complicated with acute respiratory distress syndrome: a case report.BMC infectious diseases · 2026Article
- Miliary Tuberculosis: A Comprehensive Review of Epidemiology, Clinical Manifestations, Diagnosis, Treatment, and Complications.Infection and drug resistance · 2026Review
- Secondary Analysis of Fluids and Catheters Treatment Trial (FACTT) data reveal poor clinical outcomes in acute respiratory distress syndrome patients with diabetes.Respiratory medicine · 2024Article
- Efficacy of steroid pulse therapy for miliary tuberculosis complicated by acute respiratory distress syndrome.Journal of clinical tuberculosis and other mycobacterial diseases · 2022Article
- Pathology of pulmonary tuberculosis: has the tiger changed it's stripes?Autopsy & case reports · 2022Article
- Analysis of Clinical Features and Risk Factors in Pregnant Women With Miliary Pulmonary Tuberculosis AfterFrontiers in cellular and infection microbiology · 2022Article
- Acute miliary tuberculosis in pregnancy after in vitro fertilization and embryo transfer: a report of seven cases.BMC infectious diseases · 2021Article
- In-hospital mortality of pulmonary tuberculosis with acute respiratory failure and related clinical risk factors.Journal of clinical tuberculosis and other mycobacterial diseases · 2021Article
- Clinical Evaluation of Active Tuberculosis-Related Deaths in Shenzhen, China: A Descriptive Study.International journal of general medicine · 2021Article
- Clinical characteristics of malignant melanoma in central China and predictors of metastasis.Oncology letters · 2020Article
- Prognostic factors in patients with miliary tuberculosis.Journal of clinical tuberculosis and other mycobacterial diseases · 2018Article
- Tuberculous pneumonia-induced severe ARDS complicated with DIC in a female child: a case of successful treatment.BMC infectious diseases · 2018Article
- Profile of Patients with Active Tuberculosis Admitted to a Respiratory Intensive Care Unit in a Tertiary Care Center of North India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2018Article
- Factors associated with mortality among patients with active pulmonary tuberculosis requiring intensive care.Singapore medical journal · 2017Article
- Severe Tuberculosis Requiring Intensive Care: A Descriptive Analysis.Critical care research and practice · 2017Article
- Miliary Tuberculosis in a Young Woman with Hemophagocytic Syndrome: A Case Report and Literature Review.Internal medicine (Tokyo, Japan) · 2017Article
- A scoring system to effectively evaluate central nervous system tuberculosis in patients with military tuberculosis.PloS one · 2017Observational
- Miliary tuberculosis in an immunocompetent male with a fatal outcome.BMJ case reports · 2016Article
- A Healthy Young Woman with Acute Respiratory Distress Syndrome: an unfamiliar face of a familiar disease.Electronic physician · 2016Article
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMiliary tuberculosis (TB) is an uncommon cause of acute respiratory distress syndrome (ARDS) with a high mortality. The aim of the present study was to evaluate the clinical characteristics, predictors and outcome of patients with ARDS caused by miliary TB.
methodsA retrospective study was conducted among patients with a diagnosis of ARDS with miliary TB in four hospitals from 2006 to 2010. Medical records and laboratory examinations of these patients were taken during the first 24 h of admission.
resultsEighty-five patients with miliary TB developed ARDS, 45 of whom survived (52.9%). The median age was 36.6 ± 12.5 years with 38 males (44.7%). Diabetes mellitus (DM) was the most common underlying disease (18.8%).ICU mortality was 47.1%. The time from admission to anti-tuberculosis therapy was 4.5 ± 2.0 days. Mean duration of mechanical ventilation was 8.5 ± 3.0 days in all patients. Duration of time to diagnosis, time from diagnosis to mechanical ventilation, and time to anti-tuberculosis therapy were significantly shorter in survivors than those in non-survivors. Diabetes mellitus (OR 5.431, 95%CI 1.471-20.049; P = 0.005), ALT (70-100U/L, OR 10.029, 95%CI 2.764-36.389; P = 0.001), AST (>94U/L,OR 8.034, 95%CI 2.200-29.341; P = 0.002), D-dimer (>1.6mg/L, OR 3.167, 95%CI 0.896-11.187; P = 0.042), hemoglobin (<90g/L, OR 14.824, 95%CI 3.713-59.179; P = 0.001), albumin (<25g/L, OR 15.896, 95%CI 3.975-63.566; P = 0.001) were independent predictors of ARDS development in the setting of miliary TB.
conclusionsAccurate diagnosis, early initiation of anti-tuberculosis therapy and mechanical ventilation are important for the outcome of patients with ARDS caused by miliary TB. DM, ALT, AST, D-dimer, hemoglobin, and albumin are independent predictors of ARDS development in patients with miliary TB.
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