IMR Press / CEOG / Volume 45 / Issue 1 / DOI: 10.12891/ceog4159.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
Hemoptoe by tuberculosis in near term pregnant woman: a case report
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1 Institute of Pneumology, University of Sassari, Sassari, Italy
2 Gynecologic and Obstetric Clinic, Department of Surgical, Microsurgical and Medical Sciences. University of Sassari, Sassari, Italy
3 Institute of Radiology, University of Sassari, Sassari, Italy

† These authors contributed equally.

Clin. Exp. Obstet. Gynecol. 2018, 45(1), 115–117;
Published: 10 February 2018

Tuberculosis (TB) is an important cause of morbidity and mortality in pregnancy because immunological changes in pregnancy make the activation of latent TB infection or de novo infection more likely than among non-pregnant women. The authors report the case of a pregnant woman referring for hemoptoe by TB infection. The patient showed a massive hemoptoe, because of it, the authors speculated that she was bleeding because of tubercular blood vessel erosion from bronchial or other systemic arteries supplying the lungs (high pressure system). Flexible or rigid bronchoscopy to identify the site of bleeding should be used. In the present case the authors preferred the flexible bronchoscopy because the cardiorespiratory status was stable and the bleeding was not ongoing. The flexible bronchoscopy permitted to make a diagnosis with microbiological exam on bronchial lavage.
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