Patient H.K.C (73 years old, Hanoi) was admitted to the hospital in a state of severe respiratory failure, whole body exhaustion after a long period of illness. According to family members, the patient has a history of smoking for many years, on average about one pack per day, and regularly uses alcohol and beer from a young age.
About a year ago, the patient was diagnosed with chronic lung disease and pulmonary tuberculosis at a medical facility. However, after using the medicine for a short time, the patient voluntarily quit treatment, did not follow the regimen and did not re-examine as scheduled.
Four days before being admitted to the hospital, the patient began to get a lot of fatigue, poor appetite, then appeared increasing shortness of breath accompanied by a lot of cough.
M.Sc. Dr. Truong Tu The Bao, Central Tropical Diseases Hospital, said that at the time of admission, the patient's SpO2 index was only about 85% when breathing room air. The patient breathed quickly, exerted effort, strongly contracted the respiratory muscles, pale skin and mucous membranes, and had obvious physical exhaustion.
Initial tests recorded metabolic acidosis, increased lactate levels, suggesting circulatory failure and the risk of septic shock. The patient was quickly placed in a tracheostomy and ventilated to maintain respiration.
Diagnostic imaging results showed that the lungs on both sides were severely damaged, accompanied by right pleural effusion and left pleural effusion. sputum tests detected anti-alcohol-resistant bacteria, indicating that pulmonary tuberculosis was active on the lung background that had been prolongedly destroyed.
According to MSc.BS Truong Tu The Bao, this is a typical consequence of tuberculosis not being thoroughly treated, combined with smoking and alcohol abuse for many years. These factors cause lung structure damage to spread, severely reduced gas exchange capacity and very difficult to recover.
Currently, the patient is still undergoing intensive resuscitation and maintaining mechanical ventilation.Although the condition is temporarily stable, the prognosis is still very hesitant due to severe bilateral lung damage, declining physical condition, and prolonged tuberculosis that is not controlled.
“Pneumonia is a disease that can be completely cured if the patient adheres to the correct and sufficient regimen.Quitting medication in the middle not only makes the disease worse but also increases the risk of drug resistance, causing irreversible lung damage and directly threatening life,” MSc.BS Truong Tu The Bao emphasized.
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