Tuberculous meningitis in a puerperal woman
Although tuberculous meningitis (TBM) rarely complicates pregnancy and seldom occurs in puerperal women, the prognosis for such patients has been surprisingly poor. Despite a younger patient population and the availability of effective antituberculous therapy, between 32% and 68% of pregnant or puerperal women with TBM have died. We report a case of TBM in a previously healthy woman whose signs and symptoms developed immediately after delivery and were initially attributed to postpartum depression and a puerperal-acquired bacterial infection. Although unusual, this case illustrates another clinical setting in which reactivated tuberculosis may first be manifested.