Document Detail


Pulmonary tuberculosis and extreme prematurity.
MedLine Citation:
PMID:  15724049     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A mother, newly found to be positive for HIV, delivered her first baby at 25 weeks gestation. The infant initially did well in spite of a symptomatic patent duct and a severe intraventricular haemorrhage, but became severely unwell needing further respiratory support on day 18. Acid fast bacilli were found in endotracheal secretions. After the baby's death, the bacilli were confirmed to be Mycobacterium tuberculosis, and the same organism was grown from the mother's urine. The case raised challenging issues in relatively uncharted territory in terms of treatment of the infant, public health issues, ethical decision making, and media management.
Authors:
J Katumba-Lunyenya; V Joss; P Latham; C Abbatuan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  90     ISSN:  1359-2998     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-02-22     Completed Date:  2005-03-22     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F178-9; discussion F179-83     Citation Subset:  AIM; E; IM    
Affiliation:
Milton Keynes NHS Trust, Eaglestone, Standing Way, Milton Keynes MK6 5LD, UK. jasper.katumba@mkgeneral.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Confidentiality / ethics
Disclosure / ethics,  legislation & jurisprudence
Fatal Outcome
Female
HIV Seropositivity / microbiology,  transmission
Humans
Infant, Newborn
Infant, Premature, Diseases / microbiology*,  therapy
Informed Consent / ethics,  legislation & jurisprudence
Mycobacterium tuberculosis / isolation & purification
Patient Care Team
Pregnancy
Pregnancy Complications, Infectious / microbiology
Respiratory Therapy / methods
Tuberculosis, Pulmonary / microbiology*,  therapy

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


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