Sharma Tanishq S, Amin Shivang, Sapre Shilpa, Golani Palak, Zala Sheetalba
Medicine, Shree Krishna Hospital, Anand, IND.
Obstetrics and Gynaecology, Pramukhswami Medical College, Anand, IND.
Cureus. 2020 Dec 3;12(12):e11864. doi: 10.7759/cureus.11864.
Pulmonary tuberculosis (TB) is one of the top 10 leading causes of death in the world. Multi-drug resistant TB can lead to short-term and long-term sequelae causing clinical, psychosocial, and financial burden on the diseased. Pregnancy in a woman with compromised pulmonary function is a challenge for the treating obstetrician. A multidisciplinary approach involving a respiratory physician, pre-conceptional counseling, and delivery at a tertiary care center can reduce maternal morbidity and mortality. Compliance with anti-tubercular treatment with regular follow-up can minimize the long term effects of pulmonary TB. We report a case of unilateral lung collapse due to multidrug-resistant pulmonary TB in pregnancy with good maternal and fetal outcomes.
肺结核是全球十大主要死因之一。耐多药结核病可导致短期和长期后遗症,给患者带来临床、心理社会和经济负担。肺功能受损的女性怀孕对产科医生的治疗来说是一项挑战。采用多学科方法,包括呼吸内科医生参与、孕前咨询以及在三级医疗中心分娩,可降低孕产妇发病率和死亡率。坚持抗结核治疗并定期随访可将肺结核的长期影响降至最低。我们报告一例妊娠合并耐多药肺结核导致单侧肺萎陷的病例,母婴结局良好。