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Abstract

Tuberculosis is one of the leading infectious causes of death in adults worldwide. The human host acts as a natural reservoir for Mycobacterium tuberculosis. Pregnancy carries an increased risk for infections. PresentationA 25-year-old female patient, who is in her second pregnancy, with a history of chest pain of 4 weeks of evolution associated with a non-productive cough, reports nocturnal fever not quantified by thermometer. The relatives refer to a weight loss of approximately 30 pounds in less than three weeks, since she weighed 135 pounds they indicate that no one else presents this symptomatology, they refer that the patient has never left her community. On evaluation, she was observed as a cachexic patient, with mobility difficulties, febrile with an axillary temperature of 39.1º, on pulmonary auscultation no pathological noises were found. An obstetric ultrasound was performed, reporting a 38-week pregnancy, with a fetal heart rate of 139 beats per minute and an amniotic fluid index in normal values. Chest x-rays were performed, evidencing smaller cavitary images in the right apical lobe and left medial lobe.It was decided to resolve the pregnancy by obtaining a female newborn, with low birth weight and referred to neonatology for its corresponding study. Sputum AFB smear results for acid-fast bacilli and mycobacterial culture are obtained and positive. Treatment was started with an anti-tuberculous scheme based on Ethambutol, Rifampicin, Isoniazid and Pyrazinamide for two months, and then rifampicin and isoniazid for seven months. Patient with adequate evolution when completing 6 weeks with said scheme.