Tuberculous peritonitis in the first trimester of pregnancy
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Introduction
In pregnancy, Tuberculous peritonitis (TP) is an uncommon form of extrapulmonary tuberculosis, and its diagnosis is likely to be delayed because the results of radiologic evaluations and laboratory investigations are usually non-specific [1]. The use of a surgical peritoneal approach for diagnosis may also be difficult because of the risks posed by anesthesia to the pregnant women and fetus and the risk of preterm labor, and because of poor lesion accessibility. However, early diagnosis and treatment of TP in pregnancy are critically important, because obstetric morbidity and neonatal mortality are high. Here we present a case of a pregnant woman with TP at first trimester.

Case report
A 31-year-old primigravida woman of parity 0-0-0-0 was referred to our emergency room at 13+2 weeks of gestation with uncontrolled fever, chill, dyspnea, elevated liver enzymes, and mild abdominal distension. The fever (up to 38.0?) had started at 11+5 weeks, and the diagnosis made at the time was acute pyelonephritis, which was addressed with 10 days of antibiotic treatment. However, the fever was not controlled and the patient's general condition and laboratory findings worsened. There was no medical history of hepatitis, pulmonary tuberculosis, thyroid disease, or diabetes mellitus....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364106/
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