Tuberculosis and pregnancy

DOI: https://dx.doi.org/10.18565/aig.2017.10.124-129

Reikhrud T.A., Kulchavenya E.V., Myshkova E.P., Zhukova I.I., Zhukova E.M.

1 Novosibirsk Research Institute of Tuberculosis, Ministry of Health of Russia, Novosibirsk 630040, Okhotskaya str. 81A, Russia 2 Novosibirsk State Medical University, Novosibirsk 630091, Krasny Prospect 52, Russia 3 Novosibirsk Regional Tuberculosis Dispensary, Novosibirsk 630075, Alexander Nevsky str. 9/1, Russia
Background. Tuberculosis (TB) is difficult to diagnose in pregnant women; pregnancy management in patients with TB also poses certain challenges. The incidence of TB in pregnant women was 1.3 times higher than that
in the general population.
Description. The paper describes a case of recurrent multidrug-resistant pulmonary TB in a 24-year-old woman. The patient decided to maintain her current pregnancy, despite the use of anti-TB drugs and X-ray examination. The pregnancy was hard; the baby was born with birth defects.
The second case reflects a good maternal immunity because TB of the placenta was detected only after normal delivery and spontaneously cured TB of the uterine appendages was identified in three more months.
Conclusion. Pregnancy and TB are a negative concurrence for a woman; the patient should be oriented towards the prevention of an unplanned pregnancy.

Supplementary Materials


References


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Received 01.02.2017

Accepted 17.02.2017


About the Autors


Reykhrud Tatyana Anatolyevna, head of the therapeutic department, Novosibirsk Research Institute of Tuberculosis, Ministry of Health of Russia.
630040, Russia, Novosibirsk, Okhotskaya str. 81A. Tel.: +73832037989. E-mail: urotub@yandex.ru
Kulchavena Ekaterina Valerievna, MD, chief researcher of Novosibirsk Research Institute of Tuberculosis, Ministry of Health of Russia, professor of the tuberculosis department at Novosibirsk State Medical University. 630040, Russia, Novosibirsk, Okhotskaya str. 81A. Tel.: +73832037989. E-mail: urotub@yandex.ru
Myshkova Elena Pavlovna, doctor of the Novosibirsk Research Institute of Tuberculosis, Ministry of Health of Russia.
630040, Russia, Novosibirsk, Okhotskaya str. 81A. Tel.: +73832037989. E-mail: urotub@yandex.ru
Zhukova Irina Ivanovna, head of the extrapulmonary department of the Novosibirsk Regional Tuberculosis Dispensary.
630075, Russia, Novosibirsk, Alexander Nevsky str. 9/1
Zhukova Elena Mikhailovna, MD, leading research assistant of the Novosibirsk Research Institute of Tuberculosis, Ministry of Health of Russia.
630040, Russia, Novosibirsk, Okhotskaya str. 81A. Tel.: +73832037989. E-mail: urotub@yandex.ru

For citations: Reikhrud T.A., Kulchavenya E.V., Myshkova E.P., Zhukova I.I., Zhukova E.M. Tuberculosis and pregnancyy. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (10): 124-9. (in Russian)
https://dx.doi.org/10.18565/aig.2017.10.124-129


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