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Case Report 


Atypical cause of fever in advanced pregnancy

Suman Kumar Panda, Bhagyalakshmi Satyanarayan, Hari Mohan Prasad Sinha, Sudha Trivedi, Satish Kumar Prasad.

Abstract
Although miliary tuberculosis (TB) 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 (HIV) infection. TB in pregnancy can present with non-pulmonary symptoms, making the diagnosis and treatment challenging. We report a case of military TB in a lady with advanced pregnancy who presented with fever and cough without any history of exposure to TB patient. There was no history of alcoholism, intravenous drug abuse, or any other risk factors. Sputum for acid-fast bacilli stains and HIV screening were negative. The patient was started on anti-TB treatment after blood investigations ruled out other causes of fever and chest radiograph was suggestive of miliary TB. Confirming the diagnosis of miliary TB is an arduous process requiring a high index of suspicion. During pregnancy, histopathologic examination of tissue biopsy and GeneXpert may facilitate making an early diagnosis of extrapulmonary TB.

Key words: Pregnancy; Military Tuberculosis; Infection


 
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How to Cite this Article
Pubmed Style

Panda SK, Satyanarayan B, Sinha HMP, Trivedi S, Prasad SK. Atypical cause of fever in advanced pregnancy. Int J Med Sci Public Health. 2020; 9(1): 106-109. doi:10.5455/ijmsph.2020.1030821112019


Web Style

Panda SK, Satyanarayan B, Sinha HMP, Trivedi S, Prasad SK. Atypical cause of fever in advanced pregnancy. http://www.ijmsph.com/?mno=71112 [Access: February 16, 2020]. doi:10.5455/ijmsph.2020.1030821112019


AMA (American Medical Association) Style

Panda SK, Satyanarayan B, Sinha HMP, Trivedi S, Prasad SK. Atypical cause of fever in advanced pregnancy. Int J Med Sci Public Health. 2020; 9(1): 106-109. doi:10.5455/ijmsph.2020.1030821112019



Vancouver/ICMJE Style

Panda SK, Satyanarayan B, Sinha HMP, Trivedi S, Prasad SK. Atypical cause of fever in advanced pregnancy. Int J Med Sci Public Health. (2020), [cited February 16, 2020]; 9(1): 106-109. doi:10.5455/ijmsph.2020.1030821112019



Harvard Style

Panda, S. K., Satyanarayan, . B., Sinha, . H. M. P., Trivedi, . S. & Prasad, . S. K. (2020) Atypical cause of fever in advanced pregnancy. Int J Med Sci Public Health, 9 (1), 106-109. doi:10.5455/ijmsph.2020.1030821112019



Turabian Style

Panda, Suman Kumar, Bhagyalakshmi Satyanarayan, Hari Mohan Prasad Sinha, Sudha Trivedi, and Satish Kumar Prasad. 2020. Atypical cause of fever in advanced pregnancy. International Journal of Medical Science and Public Health, 9 (1), 106-109. doi:10.5455/ijmsph.2020.1030821112019



Chicago Style

Panda, Suman Kumar, Bhagyalakshmi Satyanarayan, Hari Mohan Prasad Sinha, Sudha Trivedi, and Satish Kumar Prasad. "Atypical cause of fever in advanced pregnancy." International Journal of Medical Science and Public Health 9 (2020), 106-109. doi:10.5455/ijmsph.2020.1030821112019



MLA (The Modern Language Association) Style

Panda, Suman Kumar, Bhagyalakshmi Satyanarayan, Hari Mohan Prasad Sinha, Sudha Trivedi, and Satish Kumar Prasad. "Atypical cause of fever in advanced pregnancy." International Journal of Medical Science and Public Health 9.1 (2020), 106-109. Print. doi:10.5455/ijmsph.2020.1030821112019



APA (American Psychological Association) Style

Panda, S. K., Satyanarayan, . B., Sinha, . H. M. P., Trivedi, . S. & Prasad, . S. K. (2020) Atypical cause of fever in advanced pregnancy. International Journal of Medical Science and Public Health, 9 (1), 106-109. doi:10.5455/ijmsph.2020.1030821112019





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