Pulmonary Tuberculosis: A Diagnostic and Management Challenge in Pregnancy

Main Article Content

Ana Rita Silva - Corresponding Author

Ana Rita Santos Costa Cravo Silva [rita.sccsilva@gmail.com]
Rua 2 de Abril nº 30, 1º Andar Dto, 2600-137 Vila Franca de Xira, Portugal
ORCID iD: 0000-0002-0686-3478

Madalena Tavares
Marta Melo
Andreia Ribeiro
Paula Ambrósio
Paula Tapadinhas

Abstract

Tuberculosis is an infectious disease whose prevalence has been decreasing significantly in Portugal. Of the infected patients, only 10% will develop the disease, and this risk is higher in immunocompromised populations. The authors describe a case of a pregnant woman, previously healthy and without epidemiological context, whose diagnosis of tuberculosis was established at 32 weeks of gestation, after having started an unspecific symptom. The diagnostic confirmation and the establishment of anti-bacillary therapy were swift allowing a favorable maternal-fetal outcome. Delivery occurred at 36 weeks without complications. The newborn immediately started chemoprophylaxis, which was maintained until confirmation of absence of disease. The mother continued follow-up in a pulmonology consultation in the Center of Pneumological Diseases, with good clinical, radiological and laboratory evolution, having been discharged without active disease.

Keywords: Pregnancy; Pregnancy Complications, Infectious; Tuberculosis, Pulmonary

Article Details

1.
Silva R, Tavares M, Melo M, Ribeiro A, Ambrósio P, Tapadinhas P. Pulmonary Tuberculosis: A Diagnostic and Management Challenge in Pregnancy. Gaz Med [Internet]. 2021Jun.30 [cited 2021Aug.3];8(2). Available from: https://gazetamedica.pt/index.php/gazeta/article/view/407
Section
CLINICAL CASE

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