Extrapulmonary tuberculosis in pregnancy masquerading as a degenerating leiomyoma.
BACKGROUND
Tuberculosis (TB) is an increasingly common infectious complication of pregnancy. The diagnosis of extrapulmonary TB in pregnancy is hampered by many factors and thus often delayed, and that has the potential of increasing morbidity and mortality.


METHODS
This case involves a gravida with extrapulmonary TB, which was originally diagnosed as a degenerating leiomyoma. Diagnosis did not occur until lesions were discovered and biopsied at the time of cesarean delivery.


CONCLUSIONS
With proper identification, diagnosis, and treatment of pregnant women infected with all types of tuberculosis, the morbidity and mortality can be significantly decreased for mother and infant, and a public health emergency can be prevented.
Moore
Andrea R
AR
Department of Obstetrics and Gynecology, Franklin Square Hospital Center, Baltimore, Maryland 21237, USA. andrea.frye@medstar.net
Rogers
Francesca M
FM
Dietrick
Donovan
D
Smith
Samuel
S
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis*; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis*; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis*; D014594:Uterine Neoplasms / Q000175:diagnosis*