Document Detail


Congenital tuberculosis proven by percutaneous liver biopsy: report of a case.
MedLine Citation:
PMID:  12442608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A female term neonate with congenital tuberculosis presented with clinical manifestations of cough, respiratory distress and bilateral reticulonodular infiltration on chest radiograph. Her Indonesian mother had extrapulmonary tuberculosis. The neonate's tuberculosis symptoms were characterized by multi-organ involvement including lung, liver, gall bladder and kidneys, suggesting a spreading hematogenous transmission. Pathology of the liver biopsy revealed scattered miliary granuloma. After anti-tuberculosis treatment, significant improvement was seen on chest radiogram and in her clinical condition. Congenital tuberculosis should be suspected in infants who are unresponsive to empirical antibiotics. Transcutaneous liver biopsy may help confirm its prenatal origin.
Authors:
Yi-Hung Chou
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  30     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2002  
Date Detail:
Created Date:  2002-11-21     Completed Date:  2003-03-03     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  423-5     Citation Subset:  IM    
Affiliation:
Division of Neonatology, Chang Gung Children's Hospital, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan. yhchou@adm.cgmh.org.tw
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MeSH Terms
Descriptor/Qualifier:
Antitubercular Agents / therapeutic use
Biopsy*
Female
Gallbladder / pathology
Gestational Age
Granuloma / microbiology,  pathology
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical
Kidney / ultrasonography
Liver / microbiology*,  pathology*
Mycobacterium tuberculosis / growth & development,  isolation & purification
Pregnancy
Pregnancy Complications, Infectious / microbiology
Sputum / microbiology
Tuberculosis / congenital*,  diagnosis*,  drug therapy,  transmission
Tuberculosis, Pulmonary / congenital,  drug therapy,  transmission
Chemical
Reg. No./Substance:
0/Antitubercular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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