       Document 0574
 DOCN  M9460574
 TI    Miliary tuberculosis in pregnancy.
 DT    9404
 AU    Henderson CE; Turk R; Dobkin J; Comfort C; Divon MY; Department of
       Obstetrics and Gynecology, Jack D. Weiler Hospital,; Albert Einstein
       College of Medicine, Montefiore Medical Center,; Bronx, New York.
 SO    J Natl Med Assoc. 1993 Sep;85(9):685-7. Unique Identifier : AIDSLINE
       MED/94166117
 AB    Although miliary tuberculosis is uncommon in pregnancy, it is difficult
       to diagnose when present and is often associated with a maternal history
       of intravenous drug abuse, malignancy, alcoholism, or human
       immunodeficiency virus infection. This article reports two antepartum
       cases of miliary tuberculosis without any of these risk factors.
       Bronchial washings for Pneumocystis carinii and HIV screening were
       negative for both patients. Acid-fast bacilli stains of the bronchial
       washing and ascitic fluid were also negative. Several weeks were
       required for ascitic fluid and bronchial biopsy Mycobacterium cultures
       to be positive. In contrast, acid-fast bacilli were seen within 24 hours
       in multiple sections of the delivered placentas. Confirming the
       diagnosis of miliary tuberculosis is an arduous process requiring a high
       index of suspicion. During pregnancy, pathologic examination of tissue
       obtained by placental biopsy may facilitate making an early diagnosis of
       extrapulmonary tuberculosis.
 DE    Adult  Case Report  Female  Human  Pregnancy  Pregnancy Complications,
       Infectious/*DIAGNOSIS/MICROBIOLOGY  Tuberculosis,
       Miliary/*DIAGNOSIS/MICROBIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

