{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T18:56:08Z","timestamp":1740164168859,"version":"3.37.3"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T00:00:00Z","timestamp":1559174400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010101","name":"Taichung Veterans General Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010101","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2019,5,30]]},"abstract":"<jats:p>Acute respiratory distress syndrome (ARDS) and hemophagocytic lymphohistiocytosis (HLH) are accompanied with poor outcome and high mortality when miliary tuberculosis is a causative pathogen for both of them. A patient complicated with ARDS and HLH is unusual in critical care, and few case reports are present in PudMed. Besides, the relationship between HLH and ARDS is still unknown and has not been reviewed in the literature. In this report, we present the case of a 74-year-old Taiwanese woman suffering from pulmonary tuberculosis and miliary tuberculosis, and she developed ARDS and HLH on the 3rd day after admission. We arranged serial laboratory examination, various serum markers, bone marrow aspiration, and bronchoscopy with alveolar lavage for survey; we prescribed empirical antibiotics and antituberculosis medication soon after alveolar lavage showing positive acid-fast stain. She was extubated on hospital day 31 and discharged on hospital day 73. In conclusion, early diagnosis and intervention for underlying disease and intensive bundle care for multiorgan failure are crucial for both ARDS and HLH.<\/jats:p>","DOI":"10.1155\/2019\/9501610","type":"journal-article","created":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T19:31:12Z","timestamp":1559244672000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Miliary Tuberculosis-Related Acute Respiratory Distress Syndrome Complicated with Hemophagocytic Lymphohistiocytosis Syndrome"],"prefix":"10.1155","volume":"2019","author":[{"given":"Sz-Jiun","family":"Shiu","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ting-Ting","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5575-5150","authenticated-orcid":true,"given":"Bor-Jen","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Taichung Veterans General Hospital, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9416-4094","authenticated-orcid":true,"given":"Pin-Kuei","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Taichung Veterans General Hospital, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen-Yu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Taichung Veterans General Hospital, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4385-5095","authenticated-orcid":true,"given":"Sz-Iuan","family":"Shiu","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Taichung Veterans General Hospital, Taichung, Taiwan"},{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890500465189"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12305"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1007\/bf00443367"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/s0889-8588(05)70521-9"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/s1473-3099(07)70290-6"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/s1473-3099(06)70524-2"},{"issue":"23","key":"7","first-page":"2526","volume":"307","year":"2012","journal-title":"Journal of the American Medical Association"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2013.03.006"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-004-0985-5"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.21039"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2011.62"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.12293"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1172\/jci60331"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1056\/nejmra1208707"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.176610"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.3324\/haematol.11233"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/9501610.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/9501610.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/9501610.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T19:31:15Z","timestamp":1559244675000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criid\/2019\/9501610\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,30]]},"references-count":16,"alternative-id":["9501610","9501610"],"URL":"https:\/\/doi.org\/10.1155\/2019\/9501610","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"type":"print","value":"2090-6625"},{"type":"electronic","value":"2090-6633"}],"subject":[],"published":{"date-parts":[[2019,5,30]]}}}