Barbosa Orivaldo Alves, Teles Felipe Morais, Maia Allan Carlos Costa, Pessoa Gabriel Melo Ferraz, de Alencar Isabele Moreno, de Sousa Emília Tomé, Jorge Bezerra Simão Sâmia Duarte
Internal Medicine, Hospital Cesar Cals, Fortaleza, Brazil.
Christus University Center, Unichristus, Fortaleza, Brazil.
Oxf Med Case Reports. 2019 Dec 9;2019(11):479-481. doi: 10.1093/omcr/omz116. eCollection 2019 Nov.
Although tuberculosis (TB) is relatively common in pregnancy and puerperium, its disseminated form is a rare event, with potential lethal maternal and fetal outcomes. Due to the infrequency and lack of knowledge of most physicians about the various manifestations of the disease, the diagnosis is often overlooked, and treatment postponed, resulting in a high death rate. We report a fatal case of disseminated tuberculosis in the puerperium, with lung, brain, liver and uterine involvement. After, we briefly review the clinical manifestations of TB in the gestational period.
尽管结核病（TB）在妊娠和产褥期相对常见，但其播散型却很罕见，可能导致孕产妇和胎儿出现致命后果。由于大多数医生对该疾病的各种表现了解不足且病例罕见，诊断常常被忽视，治疗也被推迟，从而导致高死亡率。我们报告一例产褥期播散型结核病致死病例，累及肺、脑、肝和子宫。之后，我们简要回顾一下妊娠期结核病的临床表现。
