[Case of pulmonary tuberculosis in late stage of pregnancy].
A 28-year-old woman who was a nurse was admitted to our hospital because her sputum was positive for M. tuberculosis. She was pregnancy of 35 weeks. First, she was administered INH, RFP, PZA and was treated with cesarean section on the 21st day after starting tuberculosis chemotherapy. The operation was done in operating room of negative pressure ventilation. The patient returned to the tuberculosis ward, and the newborn infant entered to a newborn nursery room after confirming negative tubercle bacilli in amnionic fluid by PCR examination. EB was added to the regimen of chemotherapy after childbirth. In general hospitals, infection control is an important issue as seen in this case.
Nakanishi
Norihiko
N
Department of Internal Medicine, Ehime Prefecture Central Hospital, 83 Kasuga-cho, Matsuyama-shi, Ehime 790-0024, Japan. c-nakanishi@eph.pref.ehime.jp
Moritaka
Tomonori
T
Ueda
Nobuo
N
D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage; D002585:Cesarean Section; D003428:Cross Infection / Q000188:drug therapy* / Q000517:prevention & control; D004359:Drug Therapy, Combination; D004977:Ethambutol / Q000008:administration & dosage; D005260:Female; D006769:Hospitals, General; D006801:Humans; D007231:Infant, Newborn; D017053:Infection Control; D007538:Isoniazid / Q000008:administration & dosage; D010356:Patient Isolation; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy*; D011718:Pyrazinamide / Q000008:administration & dosage; D012293:Rifampin / Q000008:administration & dosage; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy* / Q000517:prevention & control
D000995:Antitubercular Agents; D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin