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妊娠期结核病——对澳大利亚产前筛查的启示

Tuberculosis in pregnancy--implications for antenatal screening in Australia.

作者信息

McIntyre P B, McCormack J G, Vacca A

出版信息

Med J Aust. 1987 Jan 5;146(1):42-4. doi: 10.5694/j.1326-5377.1987.tb120125.x.

DOI:10.5694/j.1326-5377.1987.tb120125.x
PMID:3796394
Abstract

Two cases of tuberculosis have been seen over the past two years in southeast Asian women who had recently emigrated to Australia and who attended a single maternity hospital in Brisbane. One patient died of tuberculous meningitis and the other had an asymptomatic tuberculous pleural effusion. Both cases illustrate some of the difficulties in the diagnosis of extrapulmonary tuberculosis, particularly in pregnant women, and the low level of awareness of this condition. Antenatal screening for tuberculosis is not performed as a routine in Australia. Pregnant women who have emigrated recently from areas of high prevalence constitute a group at increased risk for tuberculosis who should be screened selectively with tuberculin tests and chest x-ray examinations.

摘要

在过去两年里,有两名东南亚女性移民到澳大利亚后,前往布里斯班的一家妇产医院就诊,她们均被诊断出患有结核病。其中一名患者死于结核性脑膜炎,另一名患者有无症状结核性胸腔积液。这两个病例都说明了肺外结核诊断中的一些困难,尤其是在孕妇中,以及对这种疾病的认识水平较低。在澳大利亚,结核病的产前筛查并非常规项目。最近从高流行地区移民来的孕妇是结核病的高危人群,应该通过结核菌素试验和胸部X光检查进行选择性筛查。

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Tuberculosis in pregnancy--implications for antenatal screening in Australia.妊娠期结核病——对澳大利亚产前筛查的启示
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引用本文的文献

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Pregnancy-Related Tuberculous Meningitis and Immune Reconstitution Inflammatory Syndrome: A Case Series and Systematic Review.妊娠相关结核性脑膜炎与免疫重建炎症综合征:病例系列及系统评价
Open Forum Infect Dis. 2022 Oct 6;9(10):ofac513. doi: 10.1093/ofid/ofac513. eCollection 2022 Oct.
2
Tuberculosis diagnosed during pregnancy: a prospective study from London.孕期诊断出的肺结核:一项来自伦敦的前瞻性研究。
Thorax. 2000 Feb;55(2):129-32. doi: 10.1136/thorax.55.2.129.
3
The risks and benefits of antimicrobial therapy in pregnancy.孕期抗菌治疗的风险与益处。
Drug Saf. 1995 Sep;13(3):188-205. doi: 10.2165/00002018-199513030-00004.