Abstract

MORA-BAUTISTA, Víctor Manuel  and  CALA-VECINO, Luz Libia. Congenital tuberculosis, following a hidden enemy . Infect. [online]. 2016, vol.20, n.3, pp.172-175. ISSN 0123-9392.  https://doi.org/10.1016/j.infect.2015.09.003.

Congenital tuberculosis is a disease of low occurrence, but with high morbidity and mortality due to the nonspecific signs usually present but that are often classified only as a neonatal sepsis. A correct diagnosis is made by maternal history of severe symptoms during pregnancy or paucibacillary forms that become recognizable in the postpartum period, including the occurrence of endometritis and pulmonary symptoms. It is also identified by microbiological tests (baciloscopy, cultures, genetic assays). Radiographically, the most common pattern is of miliary lesions. In blood tests, elevated inflammatory biomarkers, thrombocytopenia and abnormal liver tests are found. Drug treatment is usually successful. We present a case of a female baby born from a paucibacillary mother, it was handled first as neonatal sepsis, and her improvement after antituberculous therapy.

Keywords : Congenital tuberculosis; Sepsis; Newborn; Miliary tuberculosis; Postpartum; Endometritis.

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