Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report

With the extensive development of assisted reproductive technology, in vitro fertilization and embryo transfer (IVF-ET) have enabled successful pregnancies for some infertility patients. However, pregnancy leads to endocrine and immune function changes that result in decreased immunity, providing an...

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Main Authors: Mingyi Li, Xuejuan Yang, Qi Zhou, Jinxiu Wang, Xicheng Wang, Lin Mao
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:IDCases
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214250924001720
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author Mingyi Li
Xuejuan Yang
Qi Zhou
Jinxiu Wang
Xicheng Wang
Lin Mao
author_facet Mingyi Li
Xuejuan Yang
Qi Zhou
Jinxiu Wang
Xicheng Wang
Lin Mao
author_sort Mingyi Li
collection DOAJ
description With the extensive development of assisted reproductive technology, in vitro fertilization and embryo transfer (IVF-ET) have enabled successful pregnancies for some infertility patients. However, pregnancy leads to endocrine and immune function changes that result in decreased immunity, providing an opportunity for mycobacterium tuberculosis infection or reactivation. Hematogenous disseminated pulmonary tuberculosis is a dangerous complication of pregnancy after IVF-ET, which can lead to adverse outcomes. In this case report, we present a patient with normal immune function who developed hematogenous disseminated tuberculosis after IVF-ET. We retrospectively analyzed the clinical manifestations, test results and imaging findings of the patient while reviewing relevant literature. We recommend conducting genital tuberculosis screening and screening for latent tuberculosis infection before IVF-ET. Healthcare providers should maintain high vigilance for active tuberculosis during pregnancy when unexplained high fever, cough with sputum production, early vaginal bleeding occurs despite repeated broad-spectrum antibiotic treatment.
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issn 2214-2509
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series IDCases
spelling doaj-art-70ad05c4389440b08e1be0fc22740fa22025-08-20T02:37:28ZengElsevierIDCases2214-25092024-01-0138e0209610.1016/j.idcr.2024.e02096Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case reportMingyi Li0Xuejuan Yang1Qi Zhou2Jinxiu Wang3Xicheng Wang4Lin Mao5School of Public Health, Kunming Medical University, No. 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming City, Yunnan Province, ChinaYunnan Provincial Infectious Disease Hospital, 28 km from Shi 'an Highway, Yunnan Province, ChinaSchool of Public Health, Dali University, No.2 Hongsheng Road, Dali City, Yunnan Province, ChinaSchool of Public Health, Kunming Medical University, No. 1168 Chunrong West Road, Yuhua Street, Chenggong District, Kunming City, Yunnan Province, ChinaYunnan Provincial Infectious Disease Hospital, 28 km from Shi 'an Highway, Yunnan Province, ChinaYunnan Provincial Infectious Disease Hospital, 28 km from Shi 'an Highway, Yunnan Province, China; Corresponding author.With the extensive development of assisted reproductive technology, in vitro fertilization and embryo transfer (IVF-ET) have enabled successful pregnancies for some infertility patients. However, pregnancy leads to endocrine and immune function changes that result in decreased immunity, providing an opportunity for mycobacterium tuberculosis infection or reactivation. Hematogenous disseminated pulmonary tuberculosis is a dangerous complication of pregnancy after IVF-ET, which can lead to adverse outcomes. In this case report, we present a patient with normal immune function who developed hematogenous disseminated tuberculosis after IVF-ET. We retrospectively analyzed the clinical manifestations, test results and imaging findings of the patient while reviewing relevant literature. We recommend conducting genital tuberculosis screening and screening for latent tuberculosis infection before IVF-ET. Healthcare providers should maintain high vigilance for active tuberculosis during pregnancy when unexplained high fever, cough with sputum production, early vaginal bleeding occurs despite repeated broad-spectrum antibiotic treatment.http://www.sciencedirect.com/science/article/pii/S2214250924001720In vitro fertilization - embryo transferTuberculosisHematogenous disseminationMeningitis
spellingShingle Mingyi Li
Xuejuan Yang
Qi Zhou
Jinxiu Wang
Xicheng Wang
Lin Mao
Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report
IDCases
In vitro fertilization - embryo transfer
Tuberculosis
Hematogenous dissemination
Meningitis
title Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report
title_full Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report
title_fullStr Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report
title_full_unstemmed Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report
title_short Acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer: A case report
title_sort acute hematogenous disseminated pulmonary tuberculosis and tuberculous meningitis following in vitro fertilization and embryo transfer a case report
topic In vitro fertilization - embryo transfer
Tuberculosis
Hematogenous dissemination
Meningitis
url http://www.sciencedirect.com/science/article/pii/S2214250924001720
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