Dilemme diagnostic et rôle de l’imagerie dans la tuberculose pulmonaire miliaire en postpartum

Joshua Tambe

doi:10.55715/jaim.v13i1.146

Dilemme diagnostic et rôle de l’imagerie dans la tuberculose pulmonaire miliaire en postpartum

Authors

Joshua Tambe, MD, MPH University of Buea https://orcid.org/0000-0001-7966-2637

DOI:

https://doi.org/10.55715/jaim.v13i1.146

Keywords:

Tuberculosis, miliary, pulmonary, postpartum

Abstract

Most tuberculosis (TB) infections in women of reproductive age occur around pregnancy and the postpartum period. Miliary TB is a disseminated form of the disease which is rare during pregnancy and postpartum but potentially fatal. The clinical presentation of miliary pulmonary TB is not specific and body specimens may be difficult to obtain or give a negative finding, leading to delayed diagnosis and treatment. The decision to investigate patients’ symptoms with imaging can be rewarding as the miliary pattern can be easily recognized. We report a case of postpartum miliary pulmonary TB in a client negative for human immunodeficiency virus infection that was diagnosed with chest computed tomography after prolonged illness and no certain clinical diagnosis.

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References

1. Connolly M, Nunn P. Women and tuberculosis. World Heal Stat Q. 1996;49(2):115–9.
2. Mathad JS, Gupta A. Tuberculosis in Pregnant and Postpartum Women: Epidemiology, Management, and Research Gaps. Clin Infect Dis. 2012;55(11):1532–1549.
3. Neyrolles O, Quintana-Murci L. Sexual Inequality in Tuberculosis. PLoS Med. 2009;6(12):e1000199.
4. Somma D, Thomas BE, Karim F, Kemp J, Arias N, Auer C, et al. Gender and socio-cultural determinants of TB-related stigma in Bangladesh, India, Malawi and Colombia. Int J Tuberc Lung Dis. 2008;12(7):856–66.
5. Singh N, Perfect JR. Immune Reconstitution Syndrome and Exacerbation of Infections after Pregnancy. Clin Infect Dis. 2007;45(9):1192–1199.
6. Kodadhala V, Gudeta A, Zerihun A, Lewis O, Ahmed S, Gajjala J, et al. Postpartum Tuberculosis: A Diagnostic and Therapeutic Challenge. Case Rep Pulmonol. 2016;2016:1–6.
7. Barbosa OA, Teles FM, Maia ACC, Pessoa GMF, de Alencar IM, de Sousa ET, et al. Disseminated hematogenous tuberculosis in puerperium—case report. Oxford Med Case Reports. 2019;2019(11):479–481.
8. Agarwal A. Miliary Tuberculosis Presenting as Puerperial Fever. Case Rep Infect Dis. 2011;2011:1–3.
9. Sharma SK, Mohan A, Sharma A. Miliary tuberculosis: A new look at an old foe. J Clin Tuberc Other Mycobact Dis. 2016;3:13–27.
10. Sharma SK, Mohan A, Sharma A. Challenges in the diagnosis & treatment of miliary tuberculosis. Indian J Med Res. 2012;135(5):703–30.
11. Li Q, Song Y, Chen H, Xie L, Gao M, Ma L, et al. Retrospective Analysis of 28 Cases of Tuberculosis in Pregnant Women in China. Sci Rep. 2019;9(1):15347.
12. World Health Organisation. Incidence of tuberculosis (per 100,000 people) - Cameroon. Global Tuberculosis Report. https://data.worldbank.org/indicator/SH.TBS.INCD?locations=CM. Accessed 25 March 2021.
13. Malhamé I, Cormier M, Sugarman J, Schwartzman K. Latent Tuberculosis in Pregnancy: A Systematic Review. PLoS One. 2016;11(5):e0154825.
14. Zenner D, Kruijshaar ME, Andrews N, Abubakar I. Risk of Tuberculosis in Pregnancy. Am J Respir Crit Care Med. 2012;185(7):779–784.
15. Jonsson J, Kühlmann-Berenzon S, Berggren I, Bruchfeld J. Increased risk of active tuberculosis during pregnancy and postpartum: a register-based cohort study in Sweden. Eur Respir J. 2020;55(3):1901886.
16. Nachiappan AC, Rahbar K, Shi X, Guy ES, Mortani Barbosa EJ, Shroff GS, et al. Pulmonary Tuberculosis: Role of Radiology in Diagnosis and Management. RadioGraphics. 2017;37(1):52–72.
17. Sante LR. Study of Miliary Tuberculosis by Serial Radiographic Examination. Radiology. 1924;3(6):467–471.
18. Jeong YJ, Lee KS. Pulmonary Tuberculosis: Up-to-Date Imaging and Management. Am J Roentgenol. 2008;191(3):834–844.
19. Sharma BB. Miliary nodules on chest radiographs: A diagnostic dilemma. Lung India. 2015;32(5):518–520.

Published

2021-08-28

How to Cite

Tambe, J. (2021). Dilemme diagnostic et rôle de l’imagerie dans la tuberculose pulmonaire miliaire en postpartum. Journal Africain D Imagerie Médicale (J Afr Imag Méd) Journal Officiel De La Société De Radiologie d’Afrique Noire Francophone (SRANF), 13(1). https://doi.org/10.55715/jaim.v13i1.146

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Issue

Vol. 13 No. 1 (2021): J Afr Imag Méd Volume 13 Numéro 1 Janvier - Mars 2021

Section

Faits Cliniques

License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted non-commercial used, distribution and reproduction in any medium