Grover S B, Taneja D K, Bhatia A, Chellani H
Department of Radiology and Imaging, Safdarjang Hospital, New Delhi 110029, India.
Abdom Imaging. 2000 Nov-Dec;25(6):622-6. doi: 10.1007/s002610000071.
Abdominal sonography of four infants with pyrexia and hepatomegaly demonstrated multiple hypoechoeic hepatic and splenic foci, guided biopsies of which showed caseating granulomas with acid-fast bacilli. Evidence of tuberculosis in maternal endometrium and its exclusion in the contacts further confirmed a diagnosis of congenital tuberculosis. Clinical suspicion supplemented by careful sonography facilitated early detection and antemortem diagnosis of this potentially fatal disease.
对四名发热且肝肿大婴儿进行的腹部超声检查显示，肝脏和脾脏有多个低回声病灶，对其进行引导活检显示有含抗酸杆菌的干酪样肉芽肿。母亲子宫内膜有结核证据且其接触者排除结核，进一步证实了先天性结核的诊断。临床怀疑加上仔细的超声检查有助于早期发现并对这种潜在致命疾病进行生前诊断。
