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CASE REPORT
Year : 2019  |  Volume : 7  |  Issue : 4  |  Page : 134-136

Intramedullary spinal tuberculosis in pregnancy: A rare case report


Department of Medicine, M R Medical College, Kalaburagi, Karnataka, India

Correspondence Address:
Dr. Sangram Biradar
Department of Medicine, M R Medical College, Kalaburagi, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AJIM.AJIM_8_19

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Tuberculosis (TB) is an infectious disease which has the pulmonary form as the most common presentation. The spinal column is involved in <1% of all cases of TB. Dissemination of the disease is common in immunocompromised patients, but immunodeficiency related to pregnancy severe enough to cause dissemination of the mycobacteria is rare to date; there has been conflicting evidence on the maternal and neonatal complications of TB in pregnancy. Intramedullary tuberculoma (IMT) is a rare form of spinal TB; spinal TB leading to paraplegia is uncommon in pregnancy and is a diagnostic and therapeutic challenge. Medical therapy is the mainstay of treatment for IMT though there are surgical options for selective patients. We report a case of tubercular paraplegia presenting at 34 weeks of gestation, which lead to paraplegia.


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