Sosa Luis Miguel, Cala Luz Libia, Mantilla Julio César
Departamento de Pediatría, Universidad Industrial de Santander, Hospital Universitario de Santander, Bucaramanga, Colombia.
Biomedica. 2007 Dec;27(4):475-82.
Untreated tuberculosis during pregnancy presents a serious risk for transmission of disease to the newborn and can result in adverse perinatal and obstetrical outcomes. Tuberculosis during pregnancy and congenital tuberculosis are infrequent conditions and are difficult to diagnose due the non-specificity of the symptoms. A case report is presented of a woman who had no children previously with disseminated miliary tuberculosis. Tuberculosis symptoms appeared immediately after birth of the first child, with a clinical diagnosis on the second month after childbirth, whereupon the patient died. The son, a premature infant, showed disease symptoms from the first day, with primary pulmonary complex and persistent atelectasis due to bronchial obstruction. The obstruction was due to thoracic lymphadenitis and coinfection with cytomegalovirus. The infant received standard treatment and his condition improved.
孕期未经治疗的结核病会给新生儿带来严重的疾病传播风险，并可能导致不良的围产期和产科结局。孕期结核病和先天性结核病并不常见，且由于症状不具特异性，难以诊断。本文报告一例既往无子女的女性播散性粟粒型结核病病例。该女性在产下第一个孩子后立即出现结核病症状，产后第二个月临床确诊，随后死亡。其儿子为早产儿，自出生第一天起即出现疾病症状，患有原发性肺结核并因支气管阻塞导致持续性肺不张。阻塞是由胸段淋巴结炎和巨细胞病毒合并感染引起的。婴儿接受了标准治疗，病情有所改善。
