{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:57:26Z","timestamp":1765727846511,"version":"3.40.4"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,8,18]]},"abstract":"<jats:p>We present a case report of a 23-year-old Pakistani woman who had a second trimester spontaneous miscarriage while visiting her family in the Kingdom of Saudi Arabia. A dilatation and curettage (D&amp;C) was done after the miscarriage. She developed sepsis and acute respiratory distress syndrome, requiring intensive care unit admission a few days after the D&amp;C. An exploratory laparotomy was done and she was found to have a pelvic abscess. Despite adequate broad spectrum antimicrobial cover, she continued to drain a copious amount of serous fluid from the peritoneal cavity, with persistent fever and a stiff lung with difficult weaning off mechanical ventilation. Tuberculosis PCR of the peritoneal fluid came back positive. A histological finding of necrotising granuloma from the postoperative omental specimen and a positive culture from the ascitic fluid confirmed the diagnosis of<jats:italic>Mycobacterium tuberculosis<\/jats:italic>. Antituberculous treatment was started and she made a speedy recovery.<\/jats:p>","DOI":"10.1136\/bcr-2017-220022","type":"journal-article","created":{"date-parts":[[2017,8,28]],"date-time":"2017-08-28T11:15:19Z","timestamp":1503918919000},"page":"bcr-2017-220022","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Abdominal tuberculosis and spontaneous miscarriage"],"prefix":"10.1136","volume":"2017","author":[{"given":"Baharul","family":"Islam","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikita","family":"Islam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hudaa","family":"Mehkri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mai","family":"AlQaasimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,28]]},"reference":[{"doi-asserted-by":"publisher","key":"2025042712344751000_2017.aug26_1.bcr-2017-220022.1","DOI":"10.1378\/chest.101.4.1114"},{"doi-asserted-by":"publisher","key":"2025042712344751000_2017.aug26_1.bcr-2017-220022.2","DOI":"10.1016\/j.ijid.2008.11.013"},{"key":"2025042712344751000_2017.aug26_1.bcr-2017-220022.3","doi-asserted-by":"crossref","first-page":"118","DOI":"10.4103\/1817-1737.33700","article-title":"Extrapulmonary tuberculosis in non-human immunodeficiency virus-infected adults in an endemic region","volume":"2","author":"Ozvaran","year":"2007","journal-title":"Ann Thorac Med"},{"doi-asserted-by":"publisher","key":"2025042712344751000_2017.aug26_1.bcr-2017-220022.4","DOI":"10.1086\/605559"},{"doi-asserted-by":"publisher","key":"2025042712344751000_2017.aug26_1.bcr-2017-220022.5","DOI":"10.1111\/j.1471-0528.2010.02504.x"},{"unstructured":"WHO. 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