Landouzy-Sepsis bei einer Patientin mit Miliartuberkulose |
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Authors: | J Fichte V Neef M Schöffner D Bremerich |
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Institution: | 1.Klinik für An?sthesiologie, Intensivmedizin und Schmerztherapie,Agaplesion Markus Krankenhaus,Frankfurt,Deutschland |
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Abstract: | This article reports the fulminant course of a pneumogenic sepsis with severe ARDS (acute respiratory failure) in a 36-year-old female Indian patient, who died within 14?h after admission to the intensive care unit due to a multiorgan failure. During treatment the diagnosis of a miliary tuberculosis was suspected but was only confirmed by the autopsy. Due to high hygiene standards, miliary tuberculosis as the cause of septic shock is rare in Europe. Only 1–2% of the patients with pulmonary miliary tuberculosis develop an ARDS with a mortality of 60–90%. Based on this case the diagnostics as well as treatment of the patient are described. Furthermore, the management of an open tuberculosis on an intensive care unit is explained. |
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