Tuberculous Pneumonia as a Primary Cause of Acute Respiratory Distress Syndrome: A Case Report

Background: Tuberculosis is an uncommon and very rare cause of Acute Respiratory Distress Syndrome.Moreover, it has been associated with poor outcomes a high mortality rate (40-80%). The clinicalsymptoms radiological findings tuberculous pneumonia that resemble bacterial resultin difficulties to decide definitive diagnosis. Case Presentation: A 35-year-old male patient was admittedto hospital shortness breath, fever, cough without expectoration. had history asthmasince childhood. Chest physical examination showed rhonchi wheezing on both lungs. Initial laboratoryfindings were leucocytosis, granulocytocis, eosinopenia, increased ALT ALP levels, blood gas analysisrevealed acute respiratory failure. PaO2/FiO2 49 mmHg. ECG sinus tachycardia chestX-ray consolidation initially managed for asthma exacerbation andbilateral ARDS. result microbiological acid fast bacilli (AFB)positive. He treated anti-TB first category. Clinical improvement achieved after 1 week ofanti-TB treatment. Summary: Tuberculous ARDS case pulmonary tuberculosis.The diagnosis established by prompt complete lead optimal treatment withappropriate anti-TB.