Acute respiratory distress syndrome in one patient with gout complicated by severe pulmonary tuberculosis: report of one case and literature review

The prevalence of tuberculosis (TB) infection has increased in recent years. Meanwhile, due to reasons including the presence of concomitant chronic diseases and immune dysfunction and the irregular application of anti-TB therapies, an increasing number of atypical and severe TB infection cases have been reported. Recently, a patient who had received long-term analgesic and hormone-based therapies for his gout was admitted in our hospital due to dyspnea. His condition was initially diagnosed as bacterial or viral infection because of the short duration and rapid progression, but ultimately proved to be tubercle bacillus infection. The patient died 63 hrs after emergency treatment.