[Acute confusion during pregnancy].

A 33-year-old pregnant, Indian woman presented with acute confusion initially interpreted as symptomatic hyponatraemia from SIADH. She was later diagnosed with disseminated tuberculosis and meningoencephalitis. X-ray showed signs of TB after chronic cough was revealed. This case underscores the need for thorough evaluation, including radiology, especially in patients with risk factors, regardless of pregnancy.