Brar H S, Golde S H, Egan J E
Obstet Gynecol. 1987 Sep;70(3 Pt 2):488-90.
Two cases of unusual postpartum fever in foreign nationals are presented. Prolonged work-up led to the diagnosis of pulmonary tuberculosis as a cause of postpartum fever that responded well to antituberculous drugs. The signs and symptoms illustrated by these cases should alert physicians to consider tuberculosis in their differential diagnosis when caring for pregnant immigrants. The changing patterns and diagnostic and therapeutic problems are discussed.
本文介绍了两例外国籍产妇产后出现异常发热的病例。经过长时间的检查,最终诊断为肺结核是产后发热的病因,抗结核药物治疗效果良好。这些病例所呈现的症状和体征应提醒医生,在照顾怀孕的移民妇女时,要在鉴别诊断中考虑到结核病。文中还讨论了其变化模式以及诊断和治疗方面的问题。