TUBERCULOUS MENINGOENCEPHALITIS IN CONDIT ION AFTER EMBRYO-TRANSFER

A 30-year old pregnant woman, who received an embryo transfer, suffere d since the 12th week of pregnancy from therapy-resistant attacks of f ever for several weeks. With progressive deteroriation, the increasing ly somnolent patient showed by now clear signs of meningism and acid-f ast bacilli were found in the cerebrospinal fluid. NMR showed a findin g consistent with bacterial meningoencephalitis. During therapy with I NH, Rifa and EMB, the clinical course and the CSF findings showed rapi d improvement. Nevertheless, spontaneous abortion occurred in the 23rd week of pregnancy. Previous history revealed, that granulomatous salp ingitis had been diagnosed several years earlier as the reason for inf ertility.