Fatal Disseminated Tuberculous Peritonitis following Spontaneous Abortion: A Case Report.
We describe a rare case of fatal disseminated tuberculous peritonitis in a young woman with rapid progressive clinical course following spontaneous abortion of 20-week gestation. Clinical and laboratory findings were initially unremarkable. She underwent diagnostic laparoscopy which revealed numerous tiny implants on the peritoneum and viscera. Histopathology showed chronic caseating granulomas, and the tissue culture grew Mycobacterium tuberculosis. At fifth day of the antituberculous treatment multiorgan failure occurred in terms of pulmonary, hepatic, and renal insufficiency. She developed refractory metabolic acidosis with coagulopathy and pancytopenia, and she died of acute respiratory distress syndrome and septic shock on her twelfth day of hospitalization.
Department of Obstetrics & Gynecology, Akdeniz University Hospital, 07070 Antalya, Turkey.
Munire Erman
ME
Akar
Department of Obstetrics & Gynecology, Akdeniz University Hospital, 07070 Antalya, Turkey.
Tayfun
0000-0002-6706-6915
T
Toptas
Department of Obstetrics & Gynecology, Akdeniz University Hospital, 07070 Antalya, Turkey.
Havva
H
Sutcu
Department of Obstetrics & Gynecology, Akdeniz University Hospital, 07070 Antalya, Turkey.
Haney
H
Durmus
Department of Obstetrics & Gynecology, Akdeniz University Hospital, 07070 Antalya, Turkey.
Murat
M
Ozekinci
Department of Anesthesiology and Reanimation, Akdeniz University Hospital, 07070 Antalya, Turkey.
Melike
M
Cengiz
Department of Pathology, Akdeniz University Hospital, 07070 Antalya, Turkey.
Gulgun
G
Erdogan