{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:00:53Z","timestamp":1788908453475,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,9,9]],"date-time":"2019-09-09T00:00:00Z","timestamp":1567987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute respiratory distress syndrome (ARDS) represents a rare complication of miliary tuberculosis (TB) in the adult setting, and it is even less common in the pediatric population. The presence of comorbidities and the possibility of a delayed diagnosis may further impair the clinical prognosis of critically ill patients with disseminated TB and acute respiratory failure. In this report, we present a case series of five pediatric patients with miliary TB and ARDS, where rescue and multimodal respiratory support strategies have been applied with a favorable outcome in more than half of them. The burden of miliary TB over time on a general pediatric intensive care unit\u2014including two ARDS patients\u2014is also illustrated.<\/jats:p>","DOI":"10.1002\/ppul.24510","type":"journal-article","created":{"date-parts":[[2019,9,9]],"date-time":"2019-09-09T08:47:10Z","timestamp":1568018830000},"page":"2003-2010","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Miliary tuberculosis leading to acute respiratory distress syndrome: Clinical experience in pediatric intensive care"],"prefix":"10.1002","volume":"54","author":[{"given":"Marco","family":"Piastra","sequence":"first","affiliation":[{"name":"Pediatric ICU and Trauma Center, Fondazione Policlinico A. Gemelli Universit\u00e0 Cattolica del Sacro Cuore Rome Italy"},{"name":"Department of Anesthesiology and Intensive Care, Fondazione Policlinico A. 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