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Pulmonary tuberculosis presenting as acute respiratory distress syndrome
  1. Neha Chopra,
  2. Sujay Halkur Shankar,
  3. Sagnik Biswas and
  4. Animesh Ray
  1. Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Animesh Ray; doctoranimeshray{at}


Pulmonary tuberculosis (TB) may present in the form of parenchymal disease or extraparenchymal disease. Patients with TB as a primary cause of respiratory failure requiring mechanical ventilation have been reported to have mortality rates ranging between 47% and 80%. However, acute respiratory distress syndrome (ARDS) as a presentation of TB is rarely reported. We describe two cases of immunocompetent women presenting with ARDS. They were initially worked up for viral aetiologies in view of the ongoing COVID-19 pandemic but were later diagnosed to have microbiologically proven parenchymal pulmonary TB. One of our patients succumbed to nosocomial pneumonia, while the other was discharged to follow-up.

  • TB and other respiratory infections
  • adult intensive care
  • tuberculosis

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  • NC and SHS are joint first authors.

  • Contributors Patient care: all authors. Manuscript preparation: NC and SHS. Manuscript review: SB and AR.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.