Tuberculous pleurisy and pregnancy

<bold>Introduction:</bold> Tuberculosis, an endemic infectious disease, continues to represent a major public health challenge, both in Morocco and worldwide. At the crossroads of this concern lies the pregnant woman, where the disease, far from being trivial, poses particular clinical challenges. <bold>Methods:</bold> We report a 10-year retrospective study of 27 cases of pleural tuberculosis diagnosed during pregnancy, collected at the respiratory diseases department of CHU Ibn Rochd, Casablanca. <bold>Results:</bold> The median age was 29 years, with a mean interval of 3 months before consultation. Chest pain, dry cough, dyspnoea and altered general condition were present in all our patients. Pregnancies were estimated at an average of 16 weeks' amenorrhea. Six of them had been in contact with a tuberculosis patient. Chest radiography revealed pleural opacity in all patients. Pleural biopsy confirmed the diagnosis in all cases. Antituberculosis treatment, according to the 2RHZE/4RH protocol, was administered to all our patients. This was supplemented by evacuating pleural punctures and respiratory physiotherapy, resulting in a good clinical and radiological evolution. <bold>Conclusion:</bold> At the end of this study, we conclude that pleural tuberculosis in pregnant women is an infrequent pathology, but one that requires early diagnosis coupled with appropriate treatment to guarantee maternal recovery and harmonious fetal development.