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Title
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Disseminated tuberculosis in pregnancy unknown to doctors in Western Europe case presentation : part of the routine study in infertility
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Author
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Abstract
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| Tuberculosis in pregnancy is possibly increasing in Western Europe due to a higher incidence in immigrant women from endemic regions. Common in recent immigrants. Diagnosis during pregnancy is delayed because the disease is more frequently extra-pulmonary with few symptoms and western doctors are no longer familiar with signs and symptoms of tuberculosis. We report the case of a 28-year-old woman presenting in the 13th week of pregnancy with vaginal bleeding, respiratory symptoms including persistent coughing and fever since 1 month. Diagnosis was delayed because of doubts on taking x-rays during pregnancy, and only 6 days after admission chest x-ray and blood-cultures led to diagnose miliary tuberculosis. Despite tuberculostatic medication expulsion of an infected fetus and placenta occurred. Histological examination of the placenta confirmed tuberculosis in the placental tissue. |
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Language
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English
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Source (journal)
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BMJ case reports. - London, 2008, currens
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Publication
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London
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BMJ Pub. Group
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2012
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ISSN
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1757-790X
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DOI
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10.1136/BCR-2012-006227
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Volume/pages
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(2012)
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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