Pulmonary Tuberculosis Presenting as Severe Acute Respiratory Distress Syndrome in a Capsule Hotel Resident.

Ichita Yamamoto, Tomoya Okazaki, Yasuhiro Norisue

Abstract readCase Reports

In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ichita YamamotoDepartment of Emergency and Critical Care Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, JPN.

Tomoya OkazakiDepartment of Emergency and Critical Care Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, JPN.

Yasuhiro NorisueDepartment of Emergency and Critical Care Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of a 60-year-old man who developed severe respiratory failure after collapsing in a sauna facility. Initially diagnosed with severe community-acquired pneumonia and acute respiratory distress syndrome (ARDS), his condition deteriorated despite standard treatment, necessitating venovenous extracorporeal membrane oxygenation (VV-ECMO). Acid-fast bacilli testing confirmed pulmonary tuberculosis (TB) on day 4, prompting the initiation of anti-TB therapy. Following clinical improvement, the patient was successfully weaned from VV-ECMO and transferred to a specialized TB hospital for ongoing care. This case highlights the importance of considering TB in cases of antibiotic-refractory severe pneumonia and ARDS, particularly in patients with social risk factors, even in low-incidence countries. Early recognition and treatment of TB are crucial to improving patient outcomes and minimizing transmission risks.

Indexed as

active pulmonary tuberculosisacute respiratory distress syndrome (ards)clinical case reportextracorporeal membrane oxygenation supportmedical intensive care unit (micu)pulmonary and critical care medicinesevere pneumoniasevere respiratory failuretuberculosis differential diagnosisvv-ecmo

Identifiers

PMID40046850

DOI10.7759/cureus.80082

PMCPMC11881665

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.