Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature
Background. Tuberculosis (TB) is a disease that affects hundreds of millions of people across the world. However, the incidence in developed countries has decreased over the past decades causing physicians to become unfamiliar with its unspecific symptoms. Pregnant individuals are especially difficu...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2015/370462 |
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| author | Shadi Rezai Stephen LoBue Daniel Adams Yewande Oladipo Ramses Posso Tiffany Mapp Crystal Santiago Manisha Jain William D. Marino Cassandra E. Henderson |
| author_facet | Shadi Rezai Stephen LoBue Daniel Adams Yewande Oladipo Ramses Posso Tiffany Mapp Crystal Santiago Manisha Jain William D. Marino Cassandra E. Henderson |
| author_sort | Shadi Rezai |
| collection | DOAJ |
| description | Background. Tuberculosis (TB) is a disease that affects hundreds of millions of people across the world. However, the incidence in developed countries has decreased over the past decades causing physicians to become unfamiliar with its unspecific symptoms. Pregnant individuals are especially difficult because many symptoms of active TB can mimic normal physiological changes of pregnancy. We present a case report of a 26-year-old multiparous woman, G4P3003, at 38-week gestation with a history of positive PPD who emigrated from Ghana 6 years ago. She came to the hospital with an initial complaint of suprapubic pain, pressure, and possible leakage of amniotic fluid for the past week. Patient also complained of a productive cough for the past 3 to 4 months with a decrease in vision occurring with the start of pregnancy. Visual acuity was worse than 20/200 in both eyes. Definitive diagnosis of active TB was delayed due to patient refusal of chest X-ray. Fortunately, delay in diagnosis was minimized since patient delivered within 24 hours of admission. Active TB was confirmed with intraocular dissemination. Patient had optic atrophy OS (left eye) and papillitis, choroiditis, and uveitis OD (right eye) due to TB infiltration. Fetus was asymptomatic and anti-TB therapy was started for both patients. |
| format | Article |
| id | doaj-art-ca3033cc10cc484eb12bbd9090a7d1f0 |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-ca3033cc10cc484eb12bbd9090a7d1f02025-02-03T05:46:18ZengWileyCase Reports in Pulmonology2090-68462090-68542015-01-01201510.1155/2015/370462370462Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the LiteratureShadi Rezai0Stephen LoBue1Daniel Adams2Yewande Oladipo3Ramses Posso4Tiffany Mapp5Crystal Santiago6Manisha Jain7William D. Marino8Cassandra E. Henderson9Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USASt. George’s University, School of Medicine, GrenadaSt. George’s University, School of Medicine, GrenadaSt. George’s University, School of Medicine, GrenadaDepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USAConey Island Hospital, Pulmonary Medicine, Brooklyn, NY 11235, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USABackground. Tuberculosis (TB) is a disease that affects hundreds of millions of people across the world. However, the incidence in developed countries has decreased over the past decades causing physicians to become unfamiliar with its unspecific symptoms. Pregnant individuals are especially difficult because many symptoms of active TB can mimic normal physiological changes of pregnancy. We present a case report of a 26-year-old multiparous woman, G4P3003, at 38-week gestation with a history of positive PPD who emigrated from Ghana 6 years ago. She came to the hospital with an initial complaint of suprapubic pain, pressure, and possible leakage of amniotic fluid for the past week. Patient also complained of a productive cough for the past 3 to 4 months with a decrease in vision occurring with the start of pregnancy. Visual acuity was worse than 20/200 in both eyes. Definitive diagnosis of active TB was delayed due to patient refusal of chest X-ray. Fortunately, delay in diagnosis was minimized since patient delivered within 24 hours of admission. Active TB was confirmed with intraocular dissemination. Patient had optic atrophy OS (left eye) and papillitis, choroiditis, and uveitis OD (right eye) due to TB infiltration. Fetus was asymptomatic and anti-TB therapy was started for both patients.http://dx.doi.org/10.1155/2015/370462 |
| spellingShingle | Shadi Rezai Stephen LoBue Daniel Adams Yewande Oladipo Ramses Posso Tiffany Mapp Crystal Santiago Manisha Jain William D. Marino Cassandra E. Henderson Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature Case Reports in Pulmonology |
| title | Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature |
| title_full | Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature |
| title_fullStr | Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature |
| title_full_unstemmed | Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature |
| title_short | Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature |
| title_sort | untreated active tuberculosis in pregnancy with intraocular dissemination a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2015/370462 |
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