29 March 2023: Articles
Management of Labor in Pregnancy Complicated with Previous Tuberculosis with Giant Lung Bullae and Intrauterine Growth Restriction: A Case Report
Challenging differential diagnosis, Unusual setting of medical care, Rare coexistence of disease or pathology
Muhammad Alamsyah Aziz A , Alfonsus Zeus Suryawan B*DOI: 10.12659/AJCR.939006
Am J Case Rep 2023; 24:e939006
Table 1. Timeline of the patient.
| Date | Event |
|---|---|
| 2018 | Diagnosed as active pulmonary TB |
| 2019 | Patient declared that she completed the anti-TB regiment without sputum confirmation |
| September 2021 | Pregnant |
| 1 May 2022 | Dyspnea; sputum MTB was presentStarted anti-TB regimenFound giant bullae on X-ray |
| 15 June 2022 | Came to Hasan Sadikin HospitalDiagnosed with: 1 stage active phase of labor; IUGR; TB; lung bullae |
| 16 June 2022 | Vacuum deliveryBaby had tuberculin-positive result; gastric lavage was performed |
| 18 June 2022 | Rapid molecular test found no M. tuberculosis bacteriaPatient continued standard anti-TB regimenGastric lavage TB was (-) and placenta pathology found no TB focus |