We report the case of a 25-year-old patient on anti-tuberculartreatment (ATT) who presented to our OPD for the first time at eight months pregnancy, with jaundice, loss of appetite, pruritis, and decreased urinary output. The patient was diagnosed as pregnancy with ATT induced acute liver injury and was admitted. The patient had earlier reported to a private clinic in the first trimester of the index pregnancy with persistent headache, and was evaluated and initiated on ATT. She went for follow up visits at the private clinic for only two months. Subsequently, she did no regular medical follow up until month eight of her pregnancy, when she first visited our OPD. Despite immediately admitting her, discontinuing ATT and instituting necessary management, the patient ultimately went into hepatic encephalopathy. Strict monitoring and regular follow up by both the physician and the patient (including family) need to be emphasized and are critical in preventing avoidable morbidity and mortality.
