Adverse pregnancy outcomes after in vitro fertilization due to undiagnosed urogenital tuberculosis and proposed screening algorithm for patients from tuberculosis-endemic countries

OBJECTIVE: To report 2 cases of adverse pregnancy outcomes due to delayed diagnosis of urogenital tuberculosis and propose a screening algorithm for patients from tuberculosis-endemic countries. DESIGN: Case report. SETTING: Academic medical center. PATIENT(S): Two patients with delayed diagnosis of...

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Detalles Bibliográficos
Autores principales: McLaughlin, Stephanie E., Vora, Surabhi B., Church, E. Chandler, Spitters, Christopher, Thyer, Angela, LaCourse, Sylvia, Herndon, Christopher N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9532878/
https://www.ncbi.nlm.nih.gov/pubmed/36212574
http://dx.doi.org/10.1016/j.xfre.2022.07.008
Descripción
Sumario:OBJECTIVE: To report 2 cases of adverse pregnancy outcomes due to delayed diagnosis of urogenital tuberculosis and propose a screening algorithm for patients from tuberculosis-endemic countries. DESIGN: Case report. SETTING: Academic medical center. PATIENT(S): Two patients with delayed diagnosis of urogenital tuberculosis leading to a fetal loss and a preterm delivery of an infant with congenital tuberculosis. INTERVENTION(S): Endometrial biopsy, acid-fast bacilli culture of urine, and endometrium. MAIN OUTCOME MEASURE(S): Pregnancy outcomes. RESULT(S): Fetal loss at 19 weeks and preterm delivery of an infant with congenital tuberculosis before urogenital tuberculosis treatment. CONCLUSION(S): Patients who are at risk of urogenital tuberculosis should be screened in advance of infertility treatment to potentially prevent adverse pregnancy outcomes.

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