Beshar Isabel, Moon Ashley S, Pendse Ruchita, Nevins Andrew B, Litkouhi Babak
Department of Obstetrics & Gynecology, Stanford University, Stanford, CA, USA.
Divison of Gynecologic Oncology, Department of Obstetrics & Gynecology, Stanford University, Stanford, CA, USA.
Case Rep Womens Health. 2022 Dec 14;37:e00475. doi: 10.1016/j.crwh.2022.e00475. eCollection 2023 Mar.
This case report describes the evaluation and management of a 32-year-old woman who presented shortly after a fetal demise at 23 weeks of gestation with multiple symptoms, including bloody vaginal discharge. Although the initial diagnostic concern was for metastatic malignancy, the patient was ultimately determined to have disseminated tuberculosis. Genital tuberculosis is common worldwide, yet guidelines for evaluation are limited. This report highlights the relationship between pregnancy-reactivated tuberculosis, and guides clinicians on diagnostic and management considerations in the peripartum period.
本病例报告描述了一名32岁女性的评估与管理情况。该女性在妊娠23周时胎儿死亡后不久出现多种症状，包括阴道血性分泌物。尽管最初的诊断关注点是转移性恶性肿瘤，但患者最终被确诊为播散性结核病。生殖器结核在全球范围内都很常见，但评估指南有限。本报告强调了妊娠再激活型结核病之间的关系，并为临床医生在围产期的诊断和管理考量提供指导。
