Congenital tuberculosis at the Dos de Mayo hospital in Lima Peru

A case of congenital tuberculosis with fatal outcome is presented. Tuberculosis lesions of the mother's genital tract by endometrial biopsy and hysterosalpingography were shown. The preterm newborn had thirty sixth weeks of pregnancy and weighed 2760 g. After an evolution that included hyperbil...

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Detalhes bibliográficos
Autores: Fernández, Alejandro, Cuba, Herbert
Formato: artículo
Estado:Versión publicada
Fecha de publicación:1995
País:Perú
Recursos:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/5265
Acesso em linha:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/5265
Access Level:acceso abierto
Palavra-chave:Congenital tuberculosis
tuberculous endometritis
milliary tuberculosis
tuberculosis treatment
TBC congénita
endometritis tuberculosa
TBC miliar
tratamiento específico
Descrição
Resumo:A case of congenital tuberculosis with fatal outcome is presented. Tuberculosis lesions of the mother's genital tract by endometrial biopsy and hysterosalpingography were shown. The preterm newborn had thirty sixth weeks of pregnancy and weighed 2760 g. After an evolution that included hyperbilirrubinemia, hydrocele, equinus varus, abdominal rectus diastasis, pyodermitis and omphalitis, the infant developed respiratory failure with cyanosis on day 27. Diagnosis was milliary tuberculosis and sepsis with fatal outcome. This case meets Cantwell's proposal for diagnostic criteria for congenital tuberculosis, as tuberculosis was documented in the newborn and in the mother's genital tract, confirmed by anatomopathological examination. Postnatal transmission was excluded by isolation of the newborn from the mother and the presence of lesions from the very first weeks of life.