TUBERCULOMA IN TWO POSTPARTUM PATIENTS IN A TERTIARY CARE HOSPITAL

Abstract

Around one quarter of the world’s population has latent TB .The state of pregnancy and postpartum is a double edged sword. Tuberculoma is rarely suspected in pregnancy and peripartum, it may masquerade other conditions, like  eclampsia. A state of low immunity and stress along with poor nutritional status may lead to reactivation of tuberculosis. This is a  report  of  two  cases  of  tuberculoma  in the postpartum  women with the history of stillbirth. The type 1 helper T cells' inflammatory activity decreased, there was a brief drop in immunity, allowing the mother's body to accept the fetus - a foreign body. This immunological reconstitution-induced decrease in immunity during pregnancy and the first few months after giving birth had caused a high level of susceptibility, which is typically marked by a marked escalation of tuberculosis and an adverse course of illness.