Barman Manidipa, Poudel Binita, Salam Ajmal, Prasad Hari
Pediatrics, All India Institute of Medical Sciences Rishikesh, Rishikesh, IND.
Emergency Medicine, All India Institute of Medical Sciences Rishikesh, Rishikesh, IND.
Cureus. 2023 May 18;15(5):e39178. doi: 10.7759/cureus.39178. eCollection 2023 May.
In India, tuberculosis (TB) is a severe public health concern. We report a case of a 45-day male baby who had respiratory distress and fever, whose mother was diagnosed with pulmonary TB infection prior to delivery which was confirmed by a positive Cartridge-Based Nucleic Amplification Test (CBNAAT) from the sputum and was on antitubercular therapy (ATT). Due to the symptoms, signs, and maternal TB history, congenital TB was strongly suspected. A positive CBNAAT result from the gastric lavage further supported this suspicion. This case emphasizes the value of obtaining details on the mother's TB history to aid in the early diagnosis of congenital TB and expedite the treatment and prognosis.
在印度，结核病是一个严重的公共卫生问题。我们报告了一例45天大的男婴病例，该男婴有呼吸窘迫和发热症状，其母亲在分娩前被诊断为肺结核感染，痰标本基于盒式核酸扩增试验（CBNAAT）结果呈阳性，且正在接受抗结核治疗（ATT）。由于症状、体征以及母亲的结核病病史，强烈怀疑该男婴患有先天性结核病。洗胃后的CBNAAT结果呈阳性进一步支持了这一怀疑。该病例强调了获取母亲结核病病史细节对于先天性结核病早期诊断、加快治疗及改善预后的重要性。
