Central nervous system tuberculosis (CNS-TB) is rarely suspected in pregnancy because its clinical presentation may masquerade other common conditions in pregnancy, such as eclampsia. In high tuberculosis endemic areas, CNS-TB should be suspected with a high degree of suspicion among unimmunized and immunocompromised individuals. We hereby report a case of a 32-year-old pregnant woman conceived by in vitro fertilization due to tubal blockage causing infertility, probably due to chronic infection, who presented with a history of multiple seizure episodes without a history of similar complaints outside this pregnancy. Obstetric examination revealed a gravid uterus larger than the corresponding gestational age, and an antenatal scan confirmed dichorionic diamniotic twins with the first twin in the breech and the second twin in the cephalic presentation. Magnetic resonance imaging of the brain revealed multiple nodular lesions of varying sizes that were isointense on T1-weighted imaging and hypointense on T2-weighted imaging in multiple regions of the brain, which suggest tuberculomas. A preterm cesarean section was performed at 31 weeks gestational age due to preterm rupture of membranes. We report this case to enlighten the physicians in diagnosing seizures causing intracranial tuberculoma in pregnant women and utilizing the role of imaging in diagnosis.

Lungs are one of the most vital organs which are responsible for gas exchange during respiration .Lung functions can be compromised in working environment especially at building construction work. The aim of the study was to assess the lung functions of the construction workers. Material and Methods: Adult volunteers who had given consent with a field work experience of minimum 2 years were involved in the study. Validated questionnaire was given to them and the responses were collected .Peak flow meter measurement were also analysed. Results: (65.30%) smokers had a peak flow meter reading of less than 400L and plumbers were the group affected by decreased pulmonary function test followed by mason-helpers. Conclusion: Morbidity among the construction workers varied with type of work at the construction site and comorbid factors such as smoking.