Herreros Ruiz Valdepeñas, BenjamínPlaza, IsabelGarcía, RebecaChichón, MaríaGuerrero, CarmePintor Holguín, Emilio2019-06-142019-06-142018Herreros, B., Plaza, I., García, R., Chichón, M., Guerrero, C., & Pintor, E. (2018). Miliary Tuberculosis Presenting with Hyponatremia and ARDS in an 82-Year-Old Immunocompetent Female. Pathogens, 7(3), 72. https://doi.org/10.3390/pathogens70300722076-0817http://hdl.handle.net/11268/8031An 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.engAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/journal article10.3390/pathogens7030072open accessGenética humanaBioquímicaAncianosGenética humanaBioquímicaAnciano