{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T00:19:08Z","timestamp":1760746748611,"version":"build-2065373602"},"reference-count":12,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,9,24]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Tuberculosis (TB) peritonitis is one of the least common causes for puerperal fever. We report a case of pregnant woman in the early 20s who had a preterm vaginal delivery. Following delivery, the patient had persistent episodes of low-grade fever, gradual loss of appetite and lower abdominal distension. On evaluation with CT (positive for ascites, multiple lymph node enlargement and peritoneal thickening), ascitic fluid analysis (exudative with adenosine deaminase positive status) and cartridge-based nucleic acid amplification test (positive for mycobacterium tuberculli), she was diagnosed with TB peritonitis and started on anti-TB treatment (ATT). She was lost to follow-up and came back 2\u2009months later with pyometra. Around 2 L of pus was drained, and antibiotic and ATT were continued. The patient recovered well.<\/jats:p>\n               <jats:p>This report highlights the importance of evaluating rare causes, such as extrapulmonary tuberculosis, in persistent puerperal fever. Early diagnosis and prompt treatment will prevent maternal mortality and morbidity.<\/jats:p>","DOI":"10.1136\/bcr-2025-268106","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:15:27Z","timestamp":1760699727000},"page":"e268106","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Tuberculosis peritonitis presenting as postpartum pyrexia"],"prefix":"10.1136","volume":"18","author":[{"given":"Virupaksha","family":"Ajjammanavar","sequence":"first","affiliation":[{"name":"OBG, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4510-3980","authenticated-orcid":false,"given":"Sowmya","family":"Koteshwara","sequence":"additional","affiliation":[{"name":"OBG, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megha","family":"Annaiah HR","sequence":"additional","affiliation":[{"name":"OBG, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayashree","family":"S","sequence":"additional","affiliation":[{"name":"OBG, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"2025101704151365000_18.10.e268106.1","doi-asserted-by":"crossref","DOI":"10.1186\/1752-1947-8-3","article-title":"Tuberculous peritonitis in pregnancy: a case report","volume":"8","author":"Lahbabi","year":"2014","journal-title":"J Med Case Rep"},{"key":"2025101704151365000_18.10.e268106.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000265998.40912.5e"},{"key":"2025101704151365000_18.10.e268106.3","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-233131","article-title":"Diagnosing peritoneal tuberculosis","volume":"13","author":"Koff","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025101704151365000_18.10.e268106.4","doi-asserted-by":"crossref","DOI":"10.1038\/emi.2016.10","article-title":"Updates on the risk factors for latent tuberculosis reactivation and their managements","volume":"5","author":"Ai","year":"2016","journal-title":"Emerg Microbes Infect"},{"key":"2025101704151365000_18.10.e268106.5","first-page":"325","article-title":"Evaluation of Risk Factors & Maternal and Perinatal Outcome in Puerperal Pyrexia: A Prospective Study","volume":"15","author":"Jain","year":"2023","journal-title":"IJPCR"},{"key":"2025101704151365000_18.10.e268106.6","doi-asserted-by":"crossref","DOI":"10.1155\/2012\/379271","article-title":"Tuberculosis in pregnancy: a review","volume":"2012","author":"Loto","year":"2012","journal-title":"J Pregnancy"},{"key":"2025101704151365000_18.10.e268106.7","article-title":"Peritoneal and Pulmonary Tuberculosis in a Postpartum Female with Elevated Cancer Antigen 125 and Ascites","volume":"2022","author":"Lavrynenko","year":"2022","journal-title":"Case Rep Infect Dis"},{"key":"2025101704151365000_18.10.e268106.8","doi-asserted-by":"crossref","first-page":"73","DOI":"10.54361\/ljmr.18.2.12","article-title":"Peritoneal Tuberculosis in Young Libyan Female: A Clinical Case","volume":"18","author":"Sarrab","year":"2024","journal-title":"LJMR"},{"key":"2025101704151365000_18.10.e268106.9","unstructured":"Stop TB Partnership, World Health Organization . Pathways to better diagnostics for tuberculosis: a blueprint for the development of TB diagnostics by the new diagnostics working group of the stop TB partnership. 2009."},{"key":"2025101704151365000_18.10.e268106.10","unstructured":"CDCTB . Centers for disease control and prevention. Tuberculosis (TB) - Treatment for TB Disease & Pregnancy; 2022. Available: https:\/\/www.cdc.gov\/tb\/topic\/treatment\/pregnancy.htm"},{"key":"2025101704151365000_18.10.e268106.11","doi-asserted-by":"crossref","DOI":"10.1016\/j.idcr.2025.e02154","article-title":"A case of infertility diagnosed with tuberculous endometritis","volume":"39","author":"Fukui-Watanabe","year":"2025","journal-title":"IDCases"},{"key":"2025101704151365000_18.10.e268106.12","unstructured":"The global plan to stop TB 2011-2015: transforming the fight towards elimination of tuberculosis. 2025. Available: https:\/\/www.who.int\/publications\/i\/item\/9789241500340"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268106","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T11:15:30Z","timestamp":1760699730000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268106"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":12,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,17]]},"published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1136\/bcr-2025-268106"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268106","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}