TY - JOUR 
A1 - Herreros Ruiz Valdepeñas, Benjamín
AU - Plaza, Isabel
AU - García, Rebeca
AU - Chichón, María
AU - Guerrero, Carme
AU - Pintor Holguín, Emilio
T1 - Miliary Tuberculosis Presenting with Hyponatremia and ARDS in an 82-Year-Old Immunocompetent Female
Y1 - 2018
SN - 2076-0817
UR - http://hdl.handle.net/11268/8031
AB - An immunocompetent 82-year-old female was admitted to our hospital due to fever without clear origin and hyponatremia. In the following days, an acute and bilateral pulmonary infiltrate appeared with a progressive worsening in respiratory function. Chest x-ray and CT (Computed tomography) showed bilateral reticulonodular infiltrates. Bronchoscopic aspiration and bronchoalveolar lavage (BAL), and transbronchial lung biopsy (TBBX) studies did not reveal microbiological and histopathological diagnosis. Broad-spectrum antibiotics were non-effective, and the patient died due to respiratory failure. Necropsy study revealed a miliary tuberculosis affecting lungs, liver, bone marrow, spleen, kidney, arteries, pancreas, and adrenal glands. Some weeks after the patient´s death, mycobacterial cultures from sputum, BAL and TBBX samples were positive for Mycobacterium tuberculosis.
KW - Genética humana
KW - Bioquímica
KW - Ancianos
KW - Genética humana
KW - Bioquímica
KW - Anciano
LA - eng
ER -