Sonographic diagnosis of congenital tuberculosis: an experience with four cases.
Abdominal sonography of four infants with pyrexia and hepatomegaly demonstrated multiple hypoechoeic hepatic and splenic foci, guided biopsies of which showed caseating granulomas with acid-fast bacilli. Evidence of tuberculosis in maternal endometrium and its exclusion in the contacts further confirmed a diagnosis of congenital tuberculosis. Clinical suspicion supplemented by careful sonography facilitated early detection and antemortem diagnosis of this potentially fatal disease.
Grover
S B
SB
Department of Radiology and Imaging, Safdarjang Hospital, New Delhi 110029, India.
Taneja
D K
DK
Bhatia
A
A
Chellani
H
H
D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D014376:Tuberculosis / Q000151:congenital* / Q000000981:diagnostic imaging*; D014386:Tuberculosis, Hepatic / Q000151:congenital / Q000000981:diagnostic imaging; D014463:Ultrasonography