Congenital tuberculosis associated with maternal disseminated miliary tuberculosis
Keywords:
tuberculosis/congenital, tuberculosis, miliary, lymph node, pregnancy, respiratory distress syndrome, newborn, sepsis, cytomegalovirus
Abstract
Untreated tuberculosis during pregnancy presents a serious risk for transmission of disease to the newborn and can result in adverse perinatal and obstetrical outcomes. Tuberculosis during pregnancy and congenital tuberculosis are infrequent conditions and are difficult to diagnose due the non-specificity of the symptoms. A case report is presented of a woman who had no children previously with disseminated miliary tuberculosis. Tuberculosis symptoms appeared immediately after birth of the first child, with a clinical diagnosis on the second month after childbirth, whereupon the patient died. The son, a premature infant, showed disease symptoms from the first day, with primary pulmonary complex and persistent atelectasis due to bronchial obstruction. The obstruction was due to thoracic lymphadenitis and coinfection with cytomegalovirus. The infant received standard treatment and his condition improved.Downloads
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References
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28. Cunningham DG, McGraw TT, Griffin AJ, O’Keefe JP. Neonatal tuberculosis with pulmonary cavitation. Tubercle. 1987;63:217-22.
29. Amick FE, Alden MW, Sweet LK. Congenital tuberculosis. Pediatrics. 1950;6:384-90.
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31. Council of the Infectious Disease Society of America. Diagnostic standards and classification of tuberculosis in adults and children. Am J Respir Crit Care Med. 2000;161:1376-95.
2. Khilnani GC. Tuberculosis and pregnancy. Indian J Chest Dis Allied Sci. 2004;46:105-11.
3. World Health Organization. Global tuberculosis control: surveillance, planning, and financing. WHO report 2005 (WHO/HTM/TB/2005.349). Geneva: World Health Organization; 2005.
4. Nova OP. Informe semestral VIH/sida, sexto período epidemiológico julio 2006. Inf Quinc Epidemiol Nac. 2006;11:265-80.
5. Cantwell MF, Shehab ZM, Costello AM, Sands L, Green WF, Ewing EP Jr, et al. Brief report: congenital tuberculosis. N Engl J Med. 1994;330:1051-4.
6. Smith KC. Congenital tuberculosis: a rare manifestation of a common infection. Curr Opin Infect Dis. 2002;15:269-74.
7. Walls T, Shingadia D. Global epidemiology of paediatric tuberculosis. J Infect. 2004;48:13-22.
8. World Health Organization. Global tuberculosis control: surveillance, planning, and financing. WHO report 2007 (WHO/HTM/TB/2007.376). Geneva: World Health Organization; 2007.
9. Tripathy SN, Tripathy SN. Tuberculosis and pregnancy. Int J Gynaecol Obstet. 2003;80:247-53.
10. Llewelyn M, Cropley I, Wilkinson RJ, Davidson RN. Tuberculosis diagnosed during pregnancy: a prospective
study from London. Thorax. 2000;55:129-32.
11. Jana N, Vasista K, Jindal SK, Khunnu B, Ghosh K. Perinatal outcome in pregnancies complicated by pulmonary tuberculosis. Int J Gynaecol Obstet. 1994;44:119-24.
12. Narayan J, Kala V, Subhas S, Kushagradhi G. Obstetrical outcomes among women with extrapulmonary tuberculosis. N Engl J Med. 1999;341:645-9.
13. Ormerod P. Tuberculosis in pregnancy and the puerperium. Thorax. 2001;56:494-9.
14. Kothari A, Mahadevan N, Girling J. Tuberculosis and pregnancy results of a study in a high prevalence area in London. Eur J Obstet Gynecol Reprod Biol. 2006;126:48-55.
15. Skevaki CL, Kafetzis DA. Tuberculosis in neonates and infants: epidemiology, pathogenesis, clinical manifestations, diagnosis, and management issues. Paediatr Drugs. 2005;7:219-34.
16. Islas LP, Jiménez JR. Tuberculosis pulmonar durante el embarazo: manejo del recién nacido. A propósito de un caso. Revista Mexicana de Pediatría. 2005;72:298-300.
17. Rodríguez-Manzanero Z, González-Martínez G, Chacón I, García-Martínez V. Tuberculosis y embarazo: reporte de un caso. Kasmera. 2004;32:36-42.
18. Huanca R, Castillo Y, Canales J. Tuberculosis congénita en el Hospital de Quillabamba-Cusco. Rev Situa. 2001;9:57-60.
19. Ivankovich-Escoto G. Tuberculosis congénita: presentación de un caso y revisión de la literatura. Acta Pediátrica Costarricense 2005;19:26-31.
20. Osorio MA, Bolívar G, López P. Tuberculosis congénita. Informe de un caso con autopsia. Colombia Médica. 2000;31:185-8.
21. David M, Ojeda P. Tuberculosis congénita. Presentación de caso clínico. Revista Colombiana de Neumología. 2004;16. [Consultado: 26 de enero de 2007]. Disponible en: http://encolombia.com/medicina/neumologia/neumologia16304-tuberculosis.htm
22. Abughali N, van der Kuyp F, Annable W, Kumar ML. Congenital tuberculosis. Pediatr Infect Dis J. 1994;13:738-41.
23. Ray M, Dixit A, Taipei K, Singhi PD. Congenital tuberculosis. Indian Pediatrics. 2002;39:1167-8.
24. Mazade MA, Evans EM, Starke JR, Correa AG. Congenital tuberculosis presenting as sepsis syndrome: case report and review of the literature. Pediatr Infect Dis J. 2001;20:439-42.
25. Chen A, Shih S. Congenital tuberculosis in two infants.
AJR Am J Roentgenol. 2004;182:253-6.
26. Cegielski JP, Chin DP, Espinal MA, Frieden TR, Rodríguez-Cruz R, Talbot EA, et al. The global tuberculosis situation. Progress and problems in the 20th century, prospects for the 21st century. Infect Dis Clin North Am. 2002;16:1-58.
27. Pillet P, Grill J, Rakotonirina G, Holvoet-Vermaut L, Auregan G, Guyon P. Congenital tuberculosis: difficulties in early diagnosis. Arch Pediatr. 1999;6:635-9.
28. Cunningham DG, McGraw TT, Griffin AJ, O’Keefe JP. Neonatal tuberculosis with pulmonary cavitation. Tubercle. 1987;63:217-22.
29. Amick FE, Alden MW, Sweet LK. Congenital tuberculosis. Pediatrics. 1950;6:384-90.
30. Iademarco MF, Castro KG. Epidemiology of tuberculosis. Semin Respir Infect. 2003;18:225-40.
31. Council of the Infectious Disease Society of America. Diagnostic standards and classification of tuberculosis in adults and children. Am J Respir Crit Care Med. 2000;161:1376-95.
How to Cite
1.
Sosa LM, Cala LL, Mantilla JC. Congenital tuberculosis associated with maternal disseminated miliary tuberculosis. Biomed. [Internet]. 2007 Dec. 1 [cited 2026 Jan. 11];27(4):475-82. Available from: https://revistabiomedicaorg.biteca.online/index.php/biomedica/article/view/168
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Published
2007-12-01
Issue
Section
Case presentation
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