Two critical cases of hematogenous disseminated pulmonary tuberculosis during pregnancy after in vitro fertilization-embryo transfer and literature

VernacularTitle:体外受精-胚胎移植术后妊娠合并血行播散型肺结核危重病2例报道及文献复习
Author: Liyan WANG ¹ ; Hong LI ; Yuanyuan GAO ; Mingxia GAO
Author Information

1. 兰州大学第一临床医学院，兰州　730000
Keywords: Pulmonary tuberculosis, acute hematogenous; In vitro fertilization and embryo transfer; Pregnancy
From: Clinical Medicine of China 2024;40(4):302-306
CountryChina
Language:Chinese
Abstract: Acute hematogenous pulmonary tuberculosis (AHPTB) during pregnancy, combined with acute respiratory distress syndrome (ARDS) and septic shock, is a rare and fatal condition. The two reported patients both underwent in vitro fertilization and embryo transfer (IVF-ET) to assist in pregnancy due to tubal factors. They developed critical AHPTB after pregnancy and subsequently developed respiratory failure. After assisted breathing, early anti tuberculosis treatment, and symptomatic treatment, both patients improved their condition. For women who are pregnant after IVF-ET due to tubal infertility in areas with high incidence of tuberculosis, if they have persistent fever, cough, expectoration and vaginal bleeding during pregnancy, they should be alert to the possibility of tuberculosis and be screened as soon as possible. For patients with pregnancy complicated with AHPTB, active treatment and vigilance against worsening of the condition should be taken.