Fatal Disseminated Tuberculous Peritonitis following Spontaneous Abortion: A Case Report.
Munire Erman AkarTayfun ToptasHavva SutcuHaney DurmusMurat OzekinciMelike CengizGulgun ErdoganPublished in: Case reports in obstetrics and gynecology (2014)
We describe a rare case of fatal disseminated tuberculous peritonitis in a young woman with rapid progressive clinical course following spontaneous abortion of 20-week gestation. Clinical and laboratory findings were initially unremarkable. She underwent diagnostic laparoscopy which revealed numerous tiny implants on the peritoneum and viscera. Histopathology showed chronic caseating granulomas, and the tissue culture grew Mycobacterium tuberculosis. At fifth day of the antituberculous treatment multiorgan failure occurred in terms of pulmonary, hepatic, and renal insufficiency. She developed refractory metabolic acidosis with coagulopathy and pancytopenia, and she died of acute respiratory distress syndrome and septic shock on her twelfth day of hospitalization.
Keyphrases
- acute respiratory distress syndrome
- rare case
- septic shock
- mycobacterium tuberculosis
- extracorporeal membrane oxygenation
- mechanical ventilation
- multiple sclerosis
- preterm infants
- pulmonary hypertension
- randomized controlled trial
- middle aged
- case report
- clinical trial
- robot assisted
- minimally invasive
- pulmonary tuberculosis
- study protocol
- combination therapy