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Miliary tuberculosis in an in-vitro fertilization pregnancy: a case report
G M Addis1, G S Anthony, P d'A Semple
1Rankin Memorial Hospital, Greenock, U.K.
Summary
A woman undergoing in-vitro fertilization developed flu-like symptoms and lung abnormalities. Diagnosis revealed M. bovis infection, successfully treated with antituberculous drugs, resolving symptoms.
Area of Science:
- Reproductive Medicine
- Infectious Diseases
- Pulmonology
Background:
- Primary infertility is a complex condition often requiring assisted reproductive technologies.
- In-vitro fertilization (IVF) is a common treatment for infertility.
- Miliary mottling on lung fields can indicate disseminated infection.
Observation:
- A 33-year-old woman with a 10-year history of primary infertility underwent IVF.
- She presented with flu-like symptoms, vaginal bleeding, and bilateral miliary lung mottling.
- At 14 weeks gestation, she aborted a male fetus, and urine culture confirmed Mycobacterium bovis (M. bovis).
Findings:
- The patient's symptoms and lung abnormalities were attributed to disseminated M. bovis infection.
- M. bovis infection was diagnosed following an IVF procedure and subsequent pregnancy complications.
- Antituberculous drug therapy was initiated for the M. bovis infection.
Implications:
- This case highlights the importance of considering disseminated infections, such as M. bovis, in patients undergoing IVF presenting with unusual symptoms.
- Early diagnosis and appropriate treatment of M. bovis infection are crucial for patient recovery.
- Infertility workups and treatments should be mindful of potential infectious etiologies that can impact reproductive outcomes.