Miliary Tuberculosis Presenting as Pyrexia of Unknown Origin in Pregnancy
Bibliographic record
Abstract
Miliary tuberculosis (TB) due to the widespread dissemination of Mycobacterium tuberculosis remains rare, occurring in less than 1-2% of cases, and is usually associated with risk factors including female gender, extremes of age, immunosuppressed states, poor socioeconomic status and alcoholism. Delay in diagnosis or treatment of TB has been associated with poor maternal and fetal outcomes such as anemia, preeclampsia, pneumonia, preterm labor, congenital infection and intra-uterine death. We described a case of miliary TB in pregnancy presenting as prolonged fever with a negative workup showing the challenges in diagnosing miliary TB antenatally, as manifestations can be non-specific and investigation results are inconclusive. This case emphasizes the importance of a multidisciplinary team, especially of obstetricians with expertise in high-risk pregnancies, infectious diseases, rheumatologists and neonatologists. J Clin Gynecol Obstet. 2019;8(4):114-117 doi: https://doi.org/10.14740/jcgo591
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".