scholarly journals Pregnancy With Atypical Pulmonary Tuberculosis in COVID-19 Outbreak:A Case Report

Author(s):  
Aiping ZHANG ◽  
Manman Liang ◽  
Zijian Wang ◽  
Weishun Hou ◽  
Jianghua Yang

Abstract BackgroundPregnant women due to reduced resistance, the probability of tuberculosis infection increased, easy to lead to the occurrence of tuberculosis, so pregnancy with tuberculosis is a risk to the health of pregnant women infectious diseases. However, the clinical symptoms of pregnancy with pulmonary tuberculosis are atypical, confused with the physiological reactions of pregnancy, and lack of clinical awareness, especially under the influence of the global COVID-19 epidemic, lung atypical lesions are prone to misdiagnosis or delayed diagnosis.Case presentationA 21-year-old woman was infected with Mycobacterium tuberculosis during the third trimester of pregnancy. The diagnosis and treatment of the patient were reported.ConclusionThe interaction between tuberculosis and pregnancy is like a double-edged sword. Reaising doctors’awareness on tuberculosis is fundamental, and early diagnosis and standardized treatment are the key to improve the outcome of pregnancy.

2021 ◽  
Author(s):  
Ai-Ping ZHANG ◽  
Manman Liang ◽  
Zijian Wang ◽  
Weishun Hou ◽  
Jianghua Yang

Abstract Background: During pregnancy, due to reduced immunological resistance, the probability of tuberculosis infection is increased, easily leading to the occurrence of tuberculosis; thus, pregnancy with tuberculosis is a risk to the health of pregnant women with infectious diseases. However, the clinical symptoms of pregnancy with pulmonary tuberculosis are atypical, often confused with the physiological reactions of pregnancy, and there is a lack of clinical awareness, especially in the context of the global COVID-19 pandemic. Specifically, atypical lung lesions are prone to misdiagnosis or delayed diagnosis.Case presentation: A 21-year-old woman was infected with Mycobacterium tuberculosis during the third trimester of pregnancy. The diagnosis and treatment of the patient are reported.Conclusion: The interaction between tuberculosis and pregnancy is a double-edged sword. Increasing awareness of tuberculosis among doctors is essential, and early diagnosis and standardized treatment are key to improving the outcome of pregnancy.


2020 ◽  
Vol 252 (4) ◽  
pp. 321-327
Author(s):  
Kanako Sakurai ◽  
Toshu Inoue ◽  
Satsuki Niitsuma ◽  
Ryota Sato ◽  
Kazuhiro Takahashi ◽  
...  

Author(s):  
Jonathan Gaughran ◽  
Argha Datta ◽  
Judith Hamilton ◽  
Tom Holland ◽  
Ahmad Sayasneh

This case report describes the rare finding of a granulosa cell tumour in the third trimester of pregnancy. The presentation, investigation, management, histopathological findings and subsequent follow up are detailed. The difficulties associated with such diagnoses in pregnancy are explored.


Author(s):  
S. Tanouti ◽  
M. Chakri ◽  
H. Taheri ◽  
H. Saadi ◽  
A. Mimouni

Uterine torsion is defined as a rotation of uterus more than 45 degrees along its long axis. However, a pathologic rotation of the uterus beyond 45 degrees-torsion of the entire uterus-is rarely seen in obstetrical practice, authors report a case of torsion of the uterus by 90 degrees. The patient, a 30-year-old gravida 3 para 2 at 37 weeks’ gestation with a singleton pregnancy, her prior obstetrical history included two uncomplicated term vaginal deliveries, and the current pregnancy had been uncomplicated until the date of presentation was admitted to the obstetrical unit  with  labour at 37 weeks 5 days ,on obstetric examination the patient was in labour with transversal presentation of the fetus so an emergency caesarean section (CS) was carried out for. At the time of CS, the diagnosis of uterine torsion of 90 degrees was made. After the delivery of the baby, uterus returned to anatomical position and the torsion corrected spontaneously. The patient recovered and was discharged home with her baby on the third postoperative day. Uterine torsion is an infrequently reported and potentially dangerous complication of pregnancy that occurs mainly in the third trimester.


2008 ◽  
Vol 28 (12) ◽  
pp. 1531-1536 ◽  
Author(s):  
Sallie K Young ◽  
Hamid A Al-Mondhiry ◽  
Sonia J Vaida ◽  
Anthony Ambrose ◽  
John J Botti

2012 ◽  
Vol 468-471 ◽  
pp. 723-726 ◽  
Author(s):  
Jiang Huang ◽  
Jian Feng Chen

In order to diagnose Kawasaki Disease during early phase, clinical symptoms (temperature, rash, conjunctival injection, erythema of thelips, and oral mucosal changes) and laboratory data (white blood cell, neutrophil, platelet, high sensitive c-reactive protein, and erythrocyte sedimentation rate) of 138 children with Kawasaki disease or infectious diseases were used to develop a BP neural network model. 90 random cases were trained using MATLAB software for setting up the BP neural network model. The other 48 cases were analyzed to predict Kawasaki disease using this model. Results showed that the predict accuracy in patients with Kawasaki disease and children with infectious diseases are 95.6% and 88%, respectively. Our result indicates that the BP neural network model is likely to provide an accurate test for early diagnosis of Kawasaki disease.


1999 ◽  
Vol 123 (2) ◽  
pp. 209-215 ◽  
Author(s):  
J. SINGH ◽  
A. K. HARIT ◽  
D. C. JAIN ◽  
R. C. PANDA ◽  
K. N. TEWARI ◽  
...  

Although diphtheria is declining in Delhi, case fatality rates (CFRs) are rising. In 1997, of 143 clinically suspected cases admitted to the Infectious Diseases Hospital 45 (32%) died. We examined their records to understand the epidemiology and reasons for high CFRs. About 53% of cases were from Delhi; they were not limited to any particular area. All the deaths and 92% (131/143) of cases occurred in children below 10 years of age. Only 12% of cases had received one or more doses of DPT. Muslims contributed significantly more cases than Hindus. CFRs were significantly higher in young (P=0·03) and unvaccinated (P=0·01) children and in those who received antitoxin on the third day of illness or later (P=0·03). The study highlights the importance of improved vaccine coverage and early diagnosis and prompt administration of antitoxin in reducing CFRs for diphtheria in Delhi.


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