Open AccessA case of disseminated tuberculosis during a twin pregnancy following in vitro fertilization
Author(s) -
Léo Kestens,
Lander Van Acker,
Anne Hoorens,
Elke O. Kreps,
Filomeen Haerynck,
A Debrock,
Vincent Catry,
S. Weyers,
Kristien Roelens,
Eva Van Braeckel
Publication year - 2022
Publication title -
international journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.278
H-Index - 89
eISSN - 1878-3511
pISSN - 1201-9712
DOI - 10.1016/j.ijid.2022.04.014
Subject(s) - medicine , in vitro fertilisation , pregnancy , tuberculosis , infertility , incidence (geometry) , miliary tuberculosis , obstetrics , twin pregnancy , drug , gynecology , fetus , pathology , pharmacology , biology , optics , physics , genetics
A woman presented with cough, fever, and dyspnea during a twin pregnancy following a 13th in vitro fertilization procedure. Ultimately, she was diagnosed with miliary tuberculosis and tuberculostatic treatment was initiated, complicated by drug-induced hepatotoxicity. In retrospect, previous pelvic tuberculosis had likely been overlooked. This case report highlights the need to recognize tuberculosis as a cause of infertility even in low-incidence countries and emphasizes that the peripartum period is a major risk factor for drug-induced liver injury.
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