Maternal and fetal infection with Mycobacterium tuberculosis

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Abstract
An otherwise healthy 24 year old Indian woman who had recently emigrated to Australia presented at 33 weeks of gestation with generalised pruritus. Routine antenatal screening tests at 25 weeks of gestation showed nothing untoward. Physical signs were normal, apart from a temperature of 37.5°C. Serum alkaline phosphatase, alanine transferase, total bilirubin and serum bile acid values were all increased. Abdominal ultrasonography showed that the liver and biliary tree were normal.

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