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首页> 外文期刊>Infectious diseases in obstetrics and gynecology >Pulmonary tuberculosis in a young pregnant female: challenges in diagnosis and management.
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Pulmonary tuberculosis in a young pregnant female: challenges in diagnosis and management.

机译：一名年轻孕妇的肺结核：诊断和管理方面的挑战。

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BACKGROUND: With the world becoming a global village, tuberculosis is no longer limited to endemic areas. Our case emphasizes the impact of immigration on infectious disease epidemiology and challenges associated with diagnosis and treatment in pregnancy. CASE: A 21-year-old Hispanic female presented in preterm labor and was found to be hypoxic. Chest X-ray revealed a paratracheal mass which a CT scan confirmed. PPD test was positive. Bronchoalveolar lavage did not reveal acid-fast bacilli and biopsy revealed caseating granulomas. Diagnosis and treatment were challenging due to constraints in radiological investigations, lack of initial evidence of acid-fast bacilli, and toxic profile of medications. Due to her high risk, she was started on antituberculosis regimen. The diagnosis was confirmed on Day 26 when Mycobacterium tuberculosis was isolated by DNA probe. CONCLUSION: A high index of suspicion is required to recognize the changing face and disease spectrum of tuberculosis and initiate treatment for better outcomes.
机译：背景：随着世界成为地球村，结核病不再局限于流行地区。我们的案例强调移民对传染病流行病学的影响以及与妊娠诊断和治疗相关的挑战。病例：一名21岁的西班牙裔女性在早产时表现为低氧。胸部X光检查显示气管旁肿物，CT扫描证实。 PPD测试为阳性。支气管肺泡灌洗未显示抗酸杆菌，活检显示干酪样肉芽肿。由于放射学研究的局限性，缺乏耐酸杆菌的初步证据以及药物的毒性特征，诊断和治疗面临挑战。由于她的高风险，她开始接受抗结核治疗。在第26天通过DNA探针分离出结核分枝杆菌后确诊。结论：需要高度怀疑的指标，以识别变化的面部表情和疾病谱，并开始治疗以获得更好的结果。

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