PT - JOURNAL ARTICLE AU - John M Shneerson TI - Respiratory failure in tuberculosis: a modern perspective AID - 10.7861/clinmedicine.4-1-72 DP - 2004 Jan 01 TA - Clinical Medicine PG - 72--76 VI - 4 IP - 1 4099 - http://www.rcpjournals.org/content/4/1/72.short 4100 - http://www.rcpjournals.org/content/4/1/72.full SO - Clin Med2004 Jan 01; 4 AB - Acute respiratory failure is more common in miliary tuberculosis than in tuberculous bronchopneumonia and also has a worse prognosis. Chronic hypercapnic respiratory failure is frequent after both spinal tuberculosis and surgical treatments for pulmonary tuberculosis. It may develop insidiously or present acutely, for instance, during a chest infection. Hypoventilation appears during REM sleep before non-REM sleep or wakefulness and is readily treatable with non-invasive ventilation. The prognosis is good even if initially tracheostomy ventilation is required temporarily.