Peripartum Tuberculosis as a Form of Immunorestitution Disease.

Autor: Cheng, V. C. C., Woo, P. C. Y., Lau, S. K. P., Cheung, C. H. Y., Yung, R. W. H., Yam, L. Y. C., Yuen, K. Y.
Předmět:
Zdroj: European Journal of Clinical Microbiology & Infectious Diseases; May2003, Vol. 22 Issue 5, p313-317, 5p
Abstrakt: The aim of this study was to assess the clinical spectrum of peripartum tuberculosis from the perspective of immunorestitution disease. Of 29 patients with peripartum tuberculosis, 27 (93.1%) had extrapulmonary tuberculosis, 20 (69%) of whom were affected in the central nervous system. Twenty-two (75.9%) patients had no clinical features suggestive of tuberculosis during pregnancy. The median time from delivery to the onset of immunorestitution was 4 days, but treatment with anti-tuberculous therapy was delayed for a median time of 27 days after the onset of symptoms. Despite therapy, 11 (38%) patients died and 4 (13.8%) had residual functional deficits. Peripartum tuberculosis is an important differential diagnosis of postpartum fever (of unknown origin) without localized signs. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index