Abdominal tuberculosis and spontaneous miscarriage

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases
• Critical Care Medicine

Background:

• A 23-year-old woman experienced a spontaneous miscarriage in the second trimester while in Saudi Arabia.
• Following the miscarriage, a dilatation and curettage (D&C) procedure was performed.

Observation:

• The patient subsequently developed sepsis and acute respiratory distress syndrome (ARDS), necessitating intensive care unit admission.
• Exploratory laparotomy revealed a pelvic abscess, and despite broad-spectrum antibiotics, she had persistent fever and respiratory compromise.

Findings:

• Peritoneal fluid analysis was positive for Tuberculosis PCR.
• Histopathology of an omental specimen showed necrotising granuloma, and ascitic fluid culture confirmed *Mycobacterium tuberculosis*.

Implications:

• This case highlights a rare presentation of disseminated tuberculosis following a gynecological procedure.
• Prompt diagnosis and initiation of antituberculous treatment led to a successful clinical recovery.