A woman with disseminated tuberculosis experienced preterm delivery, fallopian tube pregnancy, and delivered successfully following in vitro fertilization: a case report

Abstract

Background Disseminated tuberculosis (TB) is a fatal disease resulting from hematogenous dissemination of Mycobacterium tuberculosis. Spontaneous pregnancy rate of women with TB is low; furthermore, live birth, spontaneous abortion or ectopic pregnancy may be the outcomes even if pregnancy occurs. Case presentation We report a case of a woman with disseminated TB who had a series of complications including preterm delivery with congenital TB and infant death of pulmonary TB, fallopian tube pregnancy. She was treated by in vitro fertilization-embryo transfer (IVF-ET), and gave birth to a healthy baby. Conclusion Disseminated TB has a significant impact on female fertility. We should take more active efforts to diagnose and treat this disease in a timely fashion. Moreover, IVF treatment is a feasible approach for an infertile woman after TB.

Female Genital Tuberculosis: Clinical Presentation, Current Diagnosis, and Treatment

“…For new cases, whether microbiologically confirmed or clinically diagnosed and drug-sensitive, previously treated patients, including nonresponders, failures, recurrent TB, and loss to follow up for one month after receiving one month of antitubercular therapy (ATT), are given combination therapy. Medical therapy with antitubercular drugs is effective for FGTB [24][25][26][27][28][29].…”

“…A 31year-old woman with FGTB and fallopian tube involvement underwent a laparoscopic salpingostomy followed by regular 3 Infectious Diseases in Obstetrics and Gynecology ATT for two years. In vitro fertilization-embryo transfer (IVF-ET) gave birth to a healthy baby girl through vaginal after 36 weeks of pregnancy [24]. A comparative study of 38 infertile women with FGTB undergoing salpingectomies and treated with ATT for 6-12 months demonstrated that salpingectomy is a definitive and effective treatment option.…”