A case of disseminated tuberculosis during a twin pregnancy following in vitro fertilization. (July 2022)

• Record Type: Journal Article
• Authors: Kestens, L; Van Acker, L; Hoorens, A; Kreps, E O; Haerynck, F; Debrock, A; Catry, V; Weyers, S; Roelens, K; Van Braeckel, E
• Is Part Of: International journal of infectious diseases. Volume 120(2022)
• Page Start: 41
• Page End: 43
• Publication Date: 2022-07
• Subjects: Disseminated tuberculosis – miliary tuberculosis – pelvic tuberculosis – pregnancy – in vitro fertilization; Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Electronic journals; 616.9
• DOI: 10.1016/j.ijid.2022.04.014
• Languages: English
• ISSNs: 1201-9712

Abstract

Highlights (for review): - A woman was diagnosed with miliary tuberculosis following a 13th IVF procedure. - Underlying pelvic TB was suspected, probably the overlooked cause of her infertility. - Pregnancy and the postpartum are risk factors for a complicated disease course. Abstract: 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.