Pregnant Woman with Fulminant Disseminated TB to the Omentum and PlacentaBaraa K Nabulsi1*, Mai Kadi2, Hateem AlAbadi3, Rawaa K Alnabulsi4, Ahmad Badeghiesh5 and Sarah Aldhaheri5
- Corresponding Author:
- Baraa K Nabulsi
Resident of laparoscopic surgery
Prince Sultan Centre for Advanced Laparoscopic Surgery
King Fahad General Hospital, Jeddah, Saudi Arabia
Tel: +966 26606111 Ext. 2624
Fax: +966 26672942
E-mail: [email protected]
Received Date: March 17, 2014; Accepted Date: May 22, 2014; Published Date: May 28, 2014
Citation: Nabulsi BK, Kadi M, AlAbadi H, Alnabulsi RK, Badeghiesh A, et al. (2014) Pregnant Woman with Fulminant Disseminated TB to the Omentum and Placenta. Gynecol Obstet (Sunnyvale) 4: 225. doi: 10.4172/2161-0932.1000225
Copyright: © 2014 Nabulsi BK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
This is a case report of a young 24 year old Somali woman in her 27th week of gestation who was given Rifampicin, Ethambutol, INH, Pyridoxine and Pyrazinamide as a treatment for systemic TB. She did not respond to the treatment. She died because of brainstem infarction (brain death). According to MRI results, multiple brain tuberculomas were seen suggesting brain TB. Brain biopsy was not done and the treatment was initiated at her 27th week of gestation. Patient arrested and was transferred to ICU with GCS of 3-4/15. Cesarean section was done at the 29th week of gestation and the infant was not infected. There were query tuberculosis seeding scattered all over the patient’s omentum and placenta.
A specimen was taken for histopathology, which demonstrated that the placenta and omentum contained focal areas of microinfarctions and necrotizing granulomas consistent with tuberculosis. We emphasize that screening should be done during pregnancy to discover dormant infection, asymptomatic disease and to lower the incidence of congenital TB. The aggressive early treatment for dissemination of the disease, especially when associated with pregnancy, and the importance of early diagnosis and therapy will result in regression of the lesions.