Video-Assisted Thoracoscopic Surgery (VATS) in Pregnant Patient With Tuberculosis: A Case Report.

Autor:	Rakanovic D; Clinic for Anesthesiology and Intensive Therapy, University Clinical Centre of the Republic of Srpska, Banja Luka, BIH.; Faculty of Medicine, University of Banja Luka, Banja Luka, BIH., Sobot Novakovic S; Clinic for Anesthesiology and Intensive Therapy, University Clinical Centre of the Republic of Srpska, Banja Luka, BIH.; Faculty of Medicine, University of Banja Luka, Banja Luka, BIH., Kantar M; Clinic for Thoracic Surgery, University Clinical Centre of the Republic of Srpska, Banja Luka, BIH., Rakanovic S; Clinic for Anesthesiology and Intensive Therapy, University Clinical Centre of the Republic of Srpska, Banja Luka, BIH., Popovic I; Clinic for Anesthesiology and Intensive Therapy, University Clinical Centre of the Republic of Srpska, Banja Luka, BIH.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 27; Vol. 16 (8), pp. e67933. Date of Electronic Publication: 2024 Aug 27 (Print Publication: 2024).
DOI:	10.7759/cureus.67933
Abstrakt:	Diagnosis of tuberculosis (TB) in pregnancy may be challenging. Recommended diagnostic tests often are not sensitive, and additional diagnostic procedures are necessary to confirm disease. Symptoms of TB in pregnancy are often atypical and difficult to diagnose in the early stages of the disease. Obstetric complications of TB include spontaneous abortion, preterm labor, low birth weight, and increased neonatal mortality. In pregnant patients, empyema is one of the complications of tuberculous pneumonia, and video-assisted thoracoscopic surgery (VATS) is the recommended surgical treatment. We present the case of a pregnant patient in the 20th week of gestation who was hospitalized due to suspected TB. Serological, microbiological, and molecular tests specific to TB were negative. Radiological tests confirmed pneumonia with pleural effusion. Due to the development of empyema, VATS debridement was indicated. VATS pleural biopsy confirmed the diagnosis of TB. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Rakanovic et al.)
Databáze:	MEDLINE
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