Stillbirth as the primary manifestation of disseminated tuberculosis in a young immunocompetent mother with multiple perforations of the ileum.
Deepak RajputAmit GuptaRavi RoshanArvind KumarPublished in: BMJ case reports (2021)
Tuberculosis (TB), a significant cause of morbidity and mortality worldwide, is particularly relevant in low/middle-income countries like India, where the disease is endemic. The female reproductive system is very vulnerable to this infection with, the clinical presentation being utterly silent in most patients. Symptoms of TB in pregnancy may initially be attributed to the gravidity itself besides temporary concealment of associated weight loss by the normally occurring weight gain during the pregnancy. Untreated TB may cause pregnancy loss by either placental damage or direct harm to both the mother and child. We report a case of latent disseminated TB in a young immunocompetent female that was revealed in the postpartum state (after full-term stillbirth delivery at home) as 20 ileal perforations secondary to intestinal TB. Due to ongoing sepsis and delayed presentation to the hospital, the patient could not be salvaged despite the best possible efforts.
Keyphrases
- mycobacterium tuberculosis
- weight gain
- weight loss
- preterm birth
- end stage renal disease
- pulmonary tuberculosis
- body mass index
- ejection fraction
- pregnancy outcomes
- mental health
- case report
- chronic kidney disease
- bariatric surgery
- newly diagnosed
- birth weight
- intensive care unit
- oxidative stress
- peritoneal dialysis
- healthcare
- adverse drug
- acute kidney injury
- emergency department
- prognostic factors
- roux en y gastric bypass
- insulin resistance
- patient reported outcomes
- sleep quality
- acute care
- hiv infected
- skeletal muscle
- septic shock
- patient reported