Tuberculosis mimicking ileocecal intussusception in a 5-month-old girl.
A 5-month-old girl was diagnosed with tuberculosis, mimicking ileocecal intussusception. The mother of the patient was later diagnosed with renal tuberculosis attributable to the same (unique) Mycobacterium tuberculosis strain. Possibly, that transmission occurred by aspiration or ingestion of infected amniotic fluid or urine, which could occur before or during birth. This case illustrates that tuberculosis can mimic other common diseases and, therefore, can be a difficult diagnosis to make. Because respiratory infection was very unlikely in this case, congenital tuberculosis or postnatal infection via infected urine or breast milk should be in the differential diagnosis. In this article, we focus on different (nonrespiratory) transmission routes of Mycobacterium tuberculosis and give a short review of the recent literature on congenital tuberculosis.
de Steenwinkel
Jurriaan E M
JE
Department of Medical Microbiology and Infectious Diseases, Erasmus MC, s-Gravendijkwal 230 (Room L327), 3015 CE Rotterdam, The Netherlands. j.desteenwinkel@erasmusmc.nl
Driessen
Gert-Jan A
GJ
Kamphorst-Roemer
Margreet H
MH
Zeegers
Antoine G M
AG
Ott
Alewijn
A
van Westreenen
Mireille
M
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis; D007080:Ileocecal Valve; D007223:Infant; D007443:Intussusception / Q000175:diagnosis*; D014376:Tuberculosis / Q000151:congenital / Q000635:transmission; D014391:Tuberculosis, Miliary / Q000175:diagnosis*; D014398:Tuberculosis, Renal / Q000175:diagnosis