Hydrocortisone and ulinastatin for miliary tuberculosis-induced septic shock and adult respiratory distress syndrome in the intensive care unit

Hydrocortisone and ulinastatin are anti-inflammatory agent. We hereby report the case of a patient of sputum-positive miliary pulmonary tuberculosis that developed adult respiratory distress syndrome with septic shock. The patient was treated with anti-tubercular drugs, antibiotics, inotropes, vasop...

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Bibliographic Details
Published in:Chrismed journal of health and research 2020-01, Vol.7 (1), p.68-70
Main Authors: Keyal, Niraj, Nakarmi, Manish
Format: Article
Language:English
Subjects:
hydrocortisone
miliary tuberculosis
septic shock
ulinastatin
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Summary:Hydrocortisone and ulinastatin are anti-inflammatory agent. We hereby report the case of a patient of sputum-positive miliary pulmonary tuberculosis that developed adult respiratory distress syndrome with septic shock. The patient was treated with anti-tubercular drugs, antibiotics, inotropes, vasopressors, hydrocortisone, and ulinastatin. From this, we want to emphasize that hydrocortisone and ulinastatin can be one of the treatment options in refractory shock patient not responding to conventional treatment but requires randomized controlled trial to confirm the effectiveness of this combination.
ISSN:2348-3334
2348-506X
DOI:10.4103/cjhr.cjhr_45_19