Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.
Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.
J Obstet Gynaecol Can. 2022 Dec;44(12):1289-1292. doi: 10.1016/j.jogc.2022.10.013. Epub 2022 Nov 12.
Spinal tuberculosis (TB) is a rare form of extrapulmonary TB that can be clinically difficult to diagnose, particularly in pregnancy. This 24-year-old G2, P0 patient was diagnosed at 19 weeks gestation, 2 days after a protracted admission for hyperemesis gravidarum, COVID-19 infection, and unexplained transaminitis with bilateral lower limb weakness and urinary retention. She underwent emergent spinal decompression surgery with expectant management on intravenous antitubercular medication and cesarean delivery at 34 weeks gestation. Spinal tuberculosis is a difficult diagnosis, impacted by medical comorbidities, pregnancy, and diagnostic bias. This case describes successful antenatal management of spinal tuberculosis and highlights the importance of interdisciplinary care.
脊柱结核（TB）是一种罕见的肺外结核形式，临床上很难诊断，尤其是在怀孕期间。这位 24 岁的 G2P0 患者在因妊娠剧吐、COVID-19 感染和不明原因的转氨酸升高导致双侧下肢无力和尿潴留而长时间住院 2 天后，于妊娠 19 周时被诊断为脊柱结核。她接受了紧急脊柱减压手术，并在妊娠 34 周时进行了静脉抗结核药物治疗和剖宫产手术。脊柱结核的诊断较为困难，受到医疗合并症、妊娠和诊断偏差的影响。本病例描述了成功的产前脊柱结核管理，并强调了多学科护理的重要性。
