Abstract
Information on the outcome of extrapulmonary tuberculosis in pregnant women is limited. We present particular clinical and outcome aspects in a pregnant HIV negative woman (with pregnancy after in vitro fertilization) with tuberculosis at multiple extrapulmonary sites. In addition, we will describe the paradoxical reaction with appearance of cerebral tuberculomas after 7 months of antituberculous therapy initiation, most probably in the context of a immune reconstitution inflammatory syndrome (IRIS).
Highlights
Information on the outcome of extrapulmonary tuberculosis in pregnant women is limited
(3) Se apreciază că incidenţa TB la femeia gravidă este cel puţin tot atât de mare precum cea din populaţia generală
Cu evoluţia favorabilă a TB meningeene şi urinare, după 7 luni de tratament specific şi 6 luni de la avort, odată cu normalizarea statusului imun al pacientei (normalizarea numărului limfocitelor sanguine), au apărut simptome neurologice localizate, iar examenul RMN cerebral nativ şi post contrast a obiectivat imagini sugestive de tuberculoame intracerebrale
Summary
Information on the outcome of extrapulmonary tuberculosis in pregnant women is limited. La pacienţii cu TBE (cum ar fi meningita TB), au fost raportate reacţii paradoxale cu dezvoltarea tuberculoamelor intracerebrale după un interval de [14-270] de zile de la iniţierea tratamentului specific.
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