Agarwal Manika, Das Ananya, Singh Ahanthem Santa
Department of Obstetrics & Gynaecology, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS), Mawdiangdiang, Shillong-793018, Meghalaya, India.
South Med J. 2011 May;104(5):358-9. doi: 10.1097/SMJ.0b013e3182142d49.
Pelvic tuberculosis (TB) in pregnancy and puerperium is rare. Its atypical presentation as puerperal shock is more rare. We describe a case of pelvic TB that manifested as shock in a teenager who was two weeks postpartum. She failed to respond to antibiotics. Ziehl-Neelsen staining of aspirated pus from the left fossa collection in the abdominal cavity was positive for mycobacterium TB. Prompt treatment with antitubercular therapy could save patients from this life-threatening condition.
妊娠和产褥期盆腔结核罕见。其以产褥期休克为非典型表现则更为罕见。我们描述了一例盆腔结核病例，该病例发生在一名产后两周的青少年身上，表现为休克。她对抗生素治疗无反应。腹腔左窝积液吸出物的萋-尼染色显示结核分枝杆菌阳性。及时给予抗结核治疗可使患者免于这种危及生命的状况。
