Congenital tuberculosis: presentation of a rare case.
Congenital tuberculosis is a rare disease with a high mortality rate. Congenital tuberculosis is considered the result of mother-to-child transmission from the placenta to the fetus, through the ingestion of the amniotic fluid, or via transplacental transmission through the umbilical vein. Given the non-specific clinical signs of tuberculosis, it is usually difficult to diagnose it. The case of a 48-day-old male infant hospitalized due to weight loss, fever, cough, hemoptysis, and respiratory distress for the past 20 days, is presented. In this period, he had received broad spectrum antibiotics but with no improvement. A chest x-ray showed the presence of consolidation and a cavitary lesion in the upper and middle left lung fields. Mycobacterium tuberculosis was detected by polymerase chain reaction in a bronchoalveolar lavage specimen. Congenital tuberculosis was diagnosed based on this finding; hence, a tuberculostatic regimen was started accordingly. The patient died 13 days after treatment initiation. Congenital tuberculosis should be considered in infants with weight loss, fever, cough, hemoptysis and respiratory distress.
Dicle University Medical School, Departmento de Pediatría Pulmonar.
Velat
V
Şen
Dicle University Medical School, Departmento de Pediatría Pulmonar.
Hadice
H
Selimoğlu Şen
Dicle University Medical School, Departmento de Pediatría Pulmonar.
Fesih
F
Aktar
Dicle University Medical School, Departmento de Pediatría Pulmonar.
Ünal
Ü
Uluca
Dicle University Medical School, Departmento de Pediatría Pulmonar.
Müsemma
M
Karabel
Dicle University Medical School, Departmento de Pediatría Pulmonar.
Mehmet
M
Fuat Gürkan
D006801:Humans; D007223:Infant; D008297:Male; D014397:Tuberculosis, Pulmonary / Q000151:congenital* / Q000175:diagnosis