Indian Journal of Medical Research

CLINICAL IMAGE
Year
: 2012  |  Volume : 136  |  Issue : 6  |  Page : 1062-

A pregnant woman with dyspnoea, fever & decreased vision


Kranti Garg, Prasanta Raghab Mohapatra 
 Department of Pulmonary Medicine, Govt. Medical College & Hospital, Chandigarh 160 030, India

Correspondence Address:
Prasanta Raghab Mohapatra
Department of Pulmonary Medicine, Govt. Medical College & Hospital, Chandigarh 160 030
India




How to cite this article:
Garg K, Mohapatra PR. A pregnant woman with dyspnoea, fever & decreased vision.Indian J Med Res 2012;136:1062-1062


How to cite this URL:
Garg K, Mohapatra PR. A pregnant woman with dyspnoea, fever & decreased vision. Indian J Med Res [serial online] 2012 [cited 2020 Aug 12 ];136:1062-1062
Available from: http://www.ijmr.org.in/text.asp?2012/136/6/1062/106931


Full Text

A 30-year old pregnant female presented in the Department of Pulmonary Medicine at Government Medical College, Chandigarh, India, with fever (38.6°C), shortness of breath on exertion, and cough with scanty expectoration since 6 weeks. She was having blurred vision and photophobia in both eyes since preceding two weeks. The physical examination revealed tachypnoea and tachycardia. At the onset of symptoms, patient was 12 weeks pregnant. Baseline routine investigations and arterial blood gas analysis were normal. Chest radiograph was suggestive of classical bilateral miliary shadows [Figure 1]A. Obstetrical ultrasound at the time of presentation showed a single foetus with mild intrauterine growth restriction. Ophthalmoscopic examination revealed active choroidal lesion [Figure 1] B.

She was treated with isoniazid, rifampicin, pyrazinamide and ethambutol for two months and followed by isoniazid and rifampicin for four months (Category 1 DOTS under Revised National TB Control Programme, RNTCP). She was monitored regularly for the chest condition, the choroid lesions in the eye and foetal outcomes. Her pregnancy was continued and the follow up revealed clinical improvement with resolution of all the symptoms, healing of choroid lesions [Figure 1] C. The patient delivered a healthy child at term. Chest radiograph after the delivery of the child revealed complete resolution of the miliary lesions [Figure 1] D.{Figure 1}

 Acknowledgment



Authors acknowledge Drs Soniya Sarda and Deepak Tekke H, for their substantial contribution.