ty -jour a2 -chen，tun -chieh au -kodadhala，vijay au -gudeta，alemeshet au -zerihun，aklilu au -lewis-刘易斯，奥德娜·艾德（Odene au -ahmed） - 艾哈迈德（Ahmed）2016/08/16 TI-产后结核病：诊断和治疗性挑战SP -3793941 VL -2016 AB -2016 AB-结核病（TB）感染（TB）感染（TB）感染总是具有挑战性。适当的治疗对于减少发病率和死亡率至关重要。结核病诊断或接触活跃的结核病可能会使母亲感到情绪上的痛苦。如果母亲的结核病状况尚不清楚，对于医生来说，情况可能会变得更具挑战性。怀孕期间和产后期间结核病的有效管理需要多学科的方法，包括肺科医生，产科医生，新生儿学家，传染病专家和结核病公共卫生部门。当前的指南建议在暴露于免疫抑制，患有慢性医疗状况或产科危险因素的结核病孕妇中预防原发性异烟肼，并与感染性结核病患者紧密和持续接触。怀孕期间的治疗与普通成年人口相同。分娩时有活跃结核病的母亲出生的婴儿应进行完整的诊断评估。对于患有阴性诊断测试且没有疾病的证据的人，建议将原发性异烟肼预防至少十二周。 Repeated negative diagnostic tests are mandatory before interrupting prophylaxis. Separation of mother and infant is only necessary when the mother has received treatment for less than 2 weeks, is sputum smear-positive, or has drug-resistant TB. This case highlights important aspects for management of TB during the postpartum period which has a higher morbidity. We present a case of a young mother migrating from a developing nation to the USA, who was found to have a positive quantiFERON test associated with multiple cavitary lung lesions and gave birth to a healthy baby. SN - 2090-6846 UR - https://doi.org/10.1155/2016/3793941 DO - 10.1155/2016/3793941 JF - Case Reports in Pulmonology PB - Hindawi Publishing Corporation KW - ER -