Salazar JC, Valencia SN, Aguilar MJ

Language: Spanish
References: 11
Page: 133-138
PDF size: 1217.59 Kb.

ABSTRACT

Tuberculosis is the most common infectious disorder in the world and the disease with the highest overall mortality produced by a single infectious agent. Most of tuberculosis cases and deaths attributable to this cause are located in developing countries, like Mexico, and two-thirds of patients infected with M. tuberculosis are in the reproductive stages.
Despite being a major public health problem, there is currently insufficient evidence in national guidelines on epidemiology, diagnostic and treatment algorithms of tuberculosis in pregnancy, as well as associated maternal and neonatal complications.
We present a case of disseminated tuberculosis in pregnancy, with torpid evolution, difficulty in diagnosis and therefore treatment delay.

REFERENCES

1. Dheda, K., Barry, C.E. y Maartens, G., “Tuberculosis”, Lancet, 2016, 387 (10024): 1211-1226.

2. Shandera, W.X. y Merchant, O., “The inconsistent definitions used for tuberculosis in the medical literature”, Int J Mycobacteriol, 2015, 4 (2): 158-160.

3. Barker, R.D., “Clinical tuberculosis”, Medicine, 2016, 44 (6): 384-389.

4. Rodríguez-Leyva, I., Hernández Gómez, J.F. y Hernández Sierra, J.F., “The resurgence of meningeal tuberculosis in Mexico: a social phenomenon”, J Neurol Sci, 2017, 372: 329-330.

5. El-Messidi, A., Czuzoj-Shulman, N., Spence, A.R. y Abenhaim, H.A., “Medical and obstetric outcomes among pregnant women with tuberculosis: a population- based study of 7.8 million births”, Am J Obstet Gynecol, 2016, 215 (6): 797 e1-e6.

6. Bates, M., Ahmed, Y., Kapata, N., Maeurer, M., Mwaba, P. y Zumla, A., “Perspectives on tuberculosis in pregnancy”, Int J Infect Dis, 2015, 32: 124-127.

7. Sugarman, J., Colvin, C., Moran, A.C. y Oxlade, O., “Tuberculosis in pregnancy: an estimate of the global burden of disease”, Lancet Glob Health, 2014, 2 (12): e710-e716.

8. Baquero-Artigao, F., Mellado Pena, M.J., Del Rosal Rabes, T., Noguera Julián, A., Gonce Mellgren, A., De la Calle Fernández-Miranda, M. et al., “Spanish Society for Pediatric Infectious Diseases guidelines on tuberculosis in pregnant women and neonates. i: Epidemiology and diagnosis. Congenital tuberculosis”, An Pediatr (Barc), 2015, 83 (4): 285 e1-8.

9. Mehta, N., Chen, K., Hardy, E. y Powrie, R., “Respiratory disease in pregnancy”, Best Pract Res Clin Obstet Gynaecol, 2015, 29 (5): 598-611.

10. Knight, M., Kurinczuk, J.J., Nelson-Piercy, C., Spark, P., Brocklehurst, P., a nombre de ukoss, “Tuberculosis in pregnancy in the UK”, bjog, 2009, 116 (4): 584-588.

11. Nahid, P., Dorman, S.E., Alipanah, N., Barry, P.M., Brozek, J.L., Cattamanchi, A. et al., “Official American Thoracic Society/Centers for Disease Control and Prevention/ Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of drug-susceptible tuberculosis”, Clin Infect Dis, 2016, 63 (7): e147-e195.