Pre-extensively drug-resistant congenital tuberculosis: Case report

Authors

  • Hernán Del Castillo Instituto Nacional de Salud del Niño. Lima, Perú. Médico neumólogo
  • Antonio Salas Lopez Hospital Nacional Dos de Mayo. Lima, Perú. Médico neumólogo
  • Anna Paredes Temoche Sociedad Científica de San Fernando, Universidad Nacional Mayor de San Marcos. Lima, Perú. estudiante de Medicina
  • Alvaro Soto Mosquera Sociedad Científica de San Fernando, Universidad Nacional Mayor de San Marcos. Lima, Perú. estudiante de Medicina
  • Tania Valerio Rojas Sociedad Científica de San Fernando, Universidad Nacional Mayor de San Marcos. Lima, Perú. estudiante de Medicina

DOI:

https://doi.org/10.17843/rpmesp.2018.354.3647

Keywords:

Mycobacterium tuberculosis, Extensively Drug-Resistant Tuberculosis, Vertical Transmission of Infectious Disease

Abstract

Tuberculosis in infants is a clinical case difficult to diagnose by regular testing which often yield negative results; additionally, the source of transmission is difficult to identify. This work presents the case of a one-month old nursing boy presenting irritability, tachypnea, fever, poor gain weight from birth, and hepatomegaly. Additionally, he had the maternal history of pre-extensively drug- resistant tuberculosis and tuberculoid granulomatosis reaction with positive auramine tincture for acid-alcohol resistant bacilli at histopathology of the placenta. With a suspected congenital tuberculosis, he was referred to the National Children’s Health Institute for diagnosis and treatment. The patient showed a favorable clinical evolution and no adverse reactions to treatment. The diagnosis of congenital tuberculosis must be considered in infants with suggestive clinical signs of the disease and such suspicion must be maintained with the presence of a maternal history of Mycobacterium tuberculosis infection.

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Published

2018-12-21

Issue

Section

Case Report

How to Cite

1.
Del Castillo H, Salas Lopez A, Paredes Temoche A, Soto Mosquera A, Valerio Rojas T. Pre-extensively drug-resistant congenital tuberculosis: Case report. Rev Peru Med Exp Salud Publica [Internet]. 2018 Dec. 21 [cited 2024 Nov. 22];35(4):695-8. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/3647