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Case Reports in Obstetrics and Gynecology
Volume 2014 (2014), Article ID 125609, 5 pages
http://dx.doi.org/10.1155/2014/125609
Case Report

Fatal Disseminated Tuberculous Peritonitis following Spontaneous Abortion: A Case Report

1Department of Obstetrics & Gynecology, Akdeniz University Hospital, 07070 Antalya, Turkey
2Department of Anesthesiology and Reanimation, Akdeniz University Hospital, 07070 Antalya, Turkey
3Department of Pathology, Akdeniz University Hospital, 07070 Antalya, Turkey

Received 13 December 2013; Accepted 2 February 2014; Published 4 March 2014

Academic Editors: T. Levy and E. Shalev

Copyright © 2014 Munire Erman Akar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe a rare case of fatal disseminated tuberculous peritonitis in a young woman with rapid progressive clinical course following spontaneous abortion of 20-week gestation. Clinical and laboratory findings were initially unremarkable. She underwent diagnostic laparoscopy which revealed numerous tiny implants on the peritoneum and viscera. Histopathology showed chronic caseating granulomas, and the tissue culture grew Mycobacterium tuberculosis. At fifth day of the antituberculous treatment multiorgan failure occurred in terms of pulmonary, hepatic, and renal insufficiency. She developed refractory metabolic acidosis with coagulopathy and pancytopenia, and she died of acute respiratory distress syndrome and septic shock on her twelfth day of hospitalization.