ISSN: 2161-0932
Baraa K Nabulsi
Prince Sultan Centre for Advanced Laparoscopic Surgery, King Fahad General Hospital,
Jeddah
Saudi Arabia
Case Report
Pregnant Woman with Fulminant Disseminated TB to the Omentum and Placenta
Author(s): Baraa K Nabulsi, Mai Kadi, Hateem AlAbadi, Rawaa K Alnabulsi, Ahmad Badeghiesh and Sarah Aldhaheri
Baraa K Nabulsi, Mai Kadi, Hateem AlAbadi, Rawaa K Alnabulsi, Ahmad Badeghiesh and Sarah Aldhaheri
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 necroti.. View More»
DOI:
10.4172/2161-0932.1000225