Tuberculosis in Pregnancy

doi:10.1017/9781108975780.043

Chapter 36 - Tuberculosis in Pregnancy

from Section 6 - Cardiopulmonary Conditions in Pregnancy

Published online by Cambridge University Press: 23 February 2023

Amira El-Messidi and

Alan D. Cameron

Edited by

Amira El-Messidi and

Alan D. Cameron

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Amira El-Messidi: Affiliation:
McGill University, Montréal
Alan D. Cameron: Affiliation:
University of Glasgow

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Summary

A patient is referred by her primary care provider for consultation and transfer of care to your high-risk obstetric unit at a tertiary center. She is a 32-year-old primigravida at 15+3 weeks’ gestation with new abnormalities on chest X-ray and a positive sputum smear for acid-fast bacilli, performed as part of investigations for a four-week history of cough and night sweats. You have arranged to see her at the end of your clinic, with appropriate infection precautions. Referral to an infectious disease expert has also been instigated. A copy of the routine maternal prenatal investigations is unavailable at this time. First-trimester sonogram and aneuploidy screen were unremarkable. She has no obstetric complaints.

Keywords

Active, latent tuberculosis Pregnancy Comorbidities Investigations, diagnostic evaluation First-line treatment, drug-susceptible infection Vitamin supplementation Perinatal risks Antenatal, intrapartum, postpartum management Breastfeeding Contraception

Type: Chapter
Information: OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
, pp. 468 - 478

DOI: https://doi.org/10.1017/9781108975780.043 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2023

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References

Suggested Readings

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