Extrapulmonary tuberculosis in pregnancy masquerading as a degenerating leiomyoma

BACKGROUND: Tuberculosis (TB) is an increasingly common infectious complication of pregnancy. The diagnosis of extrapulmonary TB in pregnancy is hampered by many factors and thus often delayed, and that has the potential of increasing morbidity and mortality. CASE: This case involves a gravida with extrapulmonary TB, which was originally diagnosed as a degenerating leiomyoma. Diagnosis did not occur until lesions were discovered and biopsied at the time of cesarean delivery. CONCLUSION: With proper identification, diagnosis, and treatment of pregnant women infected with all types of tuberculosis, the morbidity and mortality can be significantly decreased for mother and infant, and a public health emergency can be prevented.