Multidrug resistant tuberculous meningitis in pregnancy: a rare case report


  • U. Nagashree Department of Obstetrics and Gynecology, Apollo Womens Hospital, Chennai, Tamil Nadu, India
  • Charumathi . Department of Obstetrics and Gynecology, Apollo Womens Hospital, Chennai, Tamil Nadu, India
  • U. Meenakshisundaram Department of Neurology, Apollo Womens Hospital, Chennai, Tamil Nadu, India



Extrapulmonary tuberculosis, Hydrocephalus, Syrringomyelia, Tuberculosis meningitis


The prevalence of tuberculosis, especially extrapulmonary tuberculosis is increasing worldwide. TB meningitis is one of severe manifestations of extra pulmonary TB. Prognosis of cases of multidrug resistance tuberculosis meningitis is worse and even more challenging in pregnant women. It’s mostly associated with increased frequency of maternal disability, hospitalisation during pregnancy, foetal growth retardation, prematurity, low-birth weight and increased perinatal mortality. As information on outcome of pregnancy among women with extra pulmonary TB is limited; various medical and surgical options for timely management has been discussed. Authors bring out a case report of a primigravida at 26 weeks gestation with severe multidrug resistant TB meningitis who was successfully managed at our hospital with a healthy infant.



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