J Clin Obstet Gynecol Infertil | Volume 7, Issue 2 | Case Report | Open Access

Miliary Tuberculosis with Mycobacterium bovis: A Silent Threat for In Vitro Fertilization Pregnancies

Jennifer MJ. K^1,2, Emmanuella K¹, Andrew B. F^1,3, Anastasia E^1,4, Martin R. C^1,2 and Anju S^1,2*

¹NYU Long Island School of Medicine, USA ²Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, NYU Langone Hospital-Long Island, USA ³Department of Medicine, Division of Infectious Disease, NYU Langone Hospital-Long Island, USA ⁴Department of Neurology, NYU Langone Hospital-Long Island, USA

^*Correspondance to: Anju S 

Fulltext PDF

Abstract

Miliary tuberculosis, a disseminated form of tuberculosis, is less common in developed countries. Case reports outside the United States have reported miliary tuberculosis in pregnancies with in vitro fertilization. We present a clinical scenario involving in vitro fertilization pregnancy that rapidly progressed from latent tuberculosis to miliary tuberculosis based on imaging. We also explore existing literature on miliary tuberculosis in pregnancy and in vitro fertilization conceptions. The combined effects of immune modulation of pregnancy and in vitro fertilization may increase risk of tuberculosis progression. To optimize maternal health, we suggest screening for tuberculosis prior to pregnancy with assisted reproductive technology.

Keywords:

Miliary tuberculosis; Disseminated tuberculosis; Mycobacterium bovis; IVF; Infection in pregnancy

Citation:

Jennifer MJK, Emmanuella K, Andrew BF, Anastasia E, Martin RC, Anju S. Miliary Tuberculosis with Mycobacterium bovis: A Silent Threat for In Vitro Fertilization Pregnancies. J Clin Obstet Gynecol Infertil. 2023; 7(2): 1058.