@article{10.11648/j.ijmi.20210903.13,
  author = {Frederick Tshibasu Tshienda and Tresor Mputsu and Ben Bepouka Izizag and Cynthia Minouche Bukumba and Angele Mbongo Tansia and Daddy Mata-Mbemba and Madone Mandina Ndona and Joseph Bodi Mabiala and Jean Robert Makulo Risasi and Roger Mbungu Mwimba and Damien Mbanzulu Pita Nsonizau and Jean Marie Kayembe Ntumba and Benjamin Longo Mbenza},
  title = {Co-infection Pulmonary Tuberculosis and Severe COVID-19 in a Pregnant Woman at the University Hospital of Kinshasa: A Case Report},
  journal = {International Journal of Medical Imaging},
  volume = {9},
  number = {3},
  pages = {149-154},
  doi = {10.11648/j.ijmi.20210903.13},
  url = {https://doi.org/10.11648/j.ijmi.20210903.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20210903.13},
  abstract = {Background: To date, world widely, only a couple of papers have reported the association between pulmonary tuberculosis, Coronavirus disease 2019 (COVID-19) and pregnancy, and none of these reports was from sub-Saharan Africa where tuberculosis is endemic. Objective: the main objective of this study is to describe the co-infection Pulmonary Tuberculosis and Severe COVID-19 in pregnant young Woman at the University Hospital of Kinshasa. Method: The report case is of a pregnant woman aged 19 (Pare 2, Gesture 2, Abortion 0) with no known significant medical history, at 32 weeks of gestation based last menstrual period She has benefited from clinic examination, biological examinations (Ziehl’s on sputum), a chest CT scan and a morphological ultrasound. Result: On admission, COVID-19 was the only working diagnosis. However, the persistent coughing prompted clinicians to request a Ziehl-Neelsen staining of sputum that revealed the diagnosis of pulmonary TB. The reverse-transcription polymerase chain reaction (RT-PCR)-confirmed COVID-19 infection and HIV serology negative. A contrast-enhanced chest computed tomography (CT) showed airspace disease involving the right upper lobar, right medial basal segment and left upper lobe in the background of diffuse micro-nodular opacities favored to represent military pulmonary tuberculosis. There were associated cystic bronchiectasis in bilateral upper lobe and bilateral small amount of pleural effusion. Aforementioned findings were favored to represent a secondary or reactivation tuberculosis. The obstetrical ultrasound showed a single live intrauterine pregnancy in breech presentation, estimated at 34 weeks 3 days of gestation without usual features including detectable congenital malformation. Conclusion: The outcome of a pregnant woman with simultaneous COVID-19 and pulmonary tuberculosis is improved when the diagnosis is made early and management is promptly initiated. This attitude also improves the fetal prognosis. In the context of the COVID-19, the association of COVID-19 and pulmonary tuberculosis, especially in immunocompromised patients should be considered.},
 year = {2021}
}

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TY  - JOUR
T1  - Co-infection Pulmonary Tuberculosis and Severe COVID-19 in a Pregnant Woman at the University Hospital of Kinshasa: A Case Report
AU  - Frederick Tshibasu Tshienda
AU  - Tresor Mputsu
AU  - Ben Bepouka Izizag
AU  - Cynthia Minouche Bukumba
AU  - Angele Mbongo Tansia
AU  - Daddy Mata-Mbemba
AU  - Madone Mandina Ndona
AU  - Joseph Bodi Mabiala
AU  - Jean Robert Makulo Risasi
AU  - Roger Mbungu Mwimba
AU  - Damien Mbanzulu Pita Nsonizau
AU  - Jean Marie Kayembe Ntumba
AU  - Benjamin Longo Mbenza
Y1  - 2021/08/04
PY  - 2021
N1  - https://doi.org/10.11648/j.ijmi.20210903.13
DO  - 10.11648/j.ijmi.20210903.13
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 149
EP  - 154
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20210903.13
AB  - Background: To date, world widely, only a couple of papers have reported the association between pulmonary tuberculosis, Coronavirus disease 2019 (COVID-19) and pregnancy, and none of these reports was from sub-Saharan Africa where tuberculosis is endemic. Objective: the main objective of this study is to describe the co-infection Pulmonary Tuberculosis and Severe COVID-19 in pregnant young Woman at the University Hospital of Kinshasa. Method: The report case is of a pregnant woman aged 19 (Pare 2, Gesture 2, Abortion 0) with no known significant medical history, at 32 weeks of gestation based last menstrual period She has benefited from clinic examination, biological examinations (Ziehl’s on sputum), a chest CT scan and a morphological ultrasound. Result: On admission, COVID-19 was the only working diagnosis. However, the persistent coughing prompted clinicians to request a Ziehl-Neelsen staining of sputum that revealed the diagnosis of pulmonary TB. The reverse-transcription polymerase chain reaction (RT-PCR)-confirmed COVID-19 infection and HIV serology negative. A contrast-enhanced chest computed tomography (CT) showed airspace disease involving the right upper lobar, right medial basal segment and left upper lobe in the background of diffuse micro-nodular opacities favored to represent military pulmonary tuberculosis. There were associated cystic bronchiectasis in bilateral upper lobe and bilateral small amount of pleural effusion. Aforementioned findings were favored to represent a secondary or reactivation tuberculosis. The obstetrical ultrasound showed a single live intrauterine pregnancy in breech presentation, estimated at 34 weeks 3 days of gestation without usual features including detectable congenital malformation. Conclusion: The outcome of a pregnant woman with simultaneous COVID-19 and pulmonary tuberculosis is improved when the diagnosis is made early and management is promptly initiated. This attitude also improves the fetal prognosis. In the context of the COVID-19, the association of COVID-19 and pulmonary tuberculosis, especially in immunocompromised patients should be considered.
VL  - 9
IS  - 3
ER  - 

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