Verschuuren Maxime, Jorna Nynke, Gutteling-van der Heijden Melanie
Flevoziekenhuis, afd. Intensive Care,Almere.
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Ned Tijdschr Geneeskd. 2024 Dec 11;168:D8175.
A 33-year-old pregnant, Indian woman presented with acute confusion initially interpreted as symptomatic hyponatraemia from SIADH. She was later diagnosed with disseminated tuberculosis and meningoencephalitis. X-ray showed signs of TB after chronic cough was revealed. This case underscores the need for thorough evaluation, including radiology, especially in patients with risk factors, regardless of pregnancy.
一名33岁的印度孕妇最初出现急性意识模糊，最初被解释为抗利尿激素分泌异常综合征导致的症状性低钠血症。她后来被诊断为播散性肺结核和脑膜脑炎。在发现慢性咳嗽后，X线显示出结核病的迹象。该病例强调了进行全面评估的必要性，包括影像学检查，尤其是对于有危险因素的患者，无论其是否怀孕。
