ABSTRACT
Although miliary tuberculosis (TB) is uncommon in pregnancy, it is difficult to diagnose when present and is often associated with a maternal history of intravenous drug abuse, malignancy, alcoholism, or human immunodeficiency virus (HIV) infection. TB in pregnancy can present with non-pulmonary symptoms, making the diagnosis and treatment challenging. We report a case of military TB in a lady with advanced pregnancy who presented with fever and cough without any history of exposure to TB patient. There was no history of alcoholism, intravenous drug abuse, or any other risk factors. Sputum for acid-fast bacilli stains and HIV screening were negative. The patient was started on anti-TB treatment after blood investigations ruled out other causes of fever and chest radiograph was suggestive of miliary TB. Confirming the diagnosis of miliary TB is an arduous process requiring a high index of suspicion. During pregnancy, histopathologic examination of tissue biopsy and GeneXpert may facilitate making an early diagnosis of extrapulmonary TB.
ABSTRACT
Background: Autopsy is a investigative procedure that has been in use since several years. Even though It helps in arriving at a decision regarding the cause of death, its use is declining recently, which should be a cause of concern. Aim and objectives: To determine the perception and attitude of undergraduate medical students towards autopsy. Materials and methods: 300 undergraduate medical students, 200 females and 100 males were given a questionnaire and asked to fill the form anonymously. The data obtained was statistically analysed. Results: Most of the students (235, 78.33%) were of opinion that autopsy procedure is necessary. Many of them stated that they gained knowledge from the autopsies they watched (246, 82%) and there is a need for casualty posting of Forensic Medicine for trauma, poisoning and other medicolegal cases (230, 76.66%). Conclusion: Knowledge and attitude has a main role in improvement in the field of Forensic medicine and Toxicology