Department of Pediatrics, Division of Critical Care Medicine, University of Alabama at Birmingham, Children's Hospital of Alabama, Birmingham, AL 35233, USA.
Department of Pediatrics, Division of Critical Care Medicine, Duke University Medical Center, Durham, NC 27710, USA.
J Extra Corpor Technol. 2023 Jun;55(2):86-90. doi: 10.1051/ject/2023007. Epub 2023 Jun 28.
Congenital tuberculosis is a rare infectious disease with less than 500 cases documented worldwide. Mortality is significant, ranging from 34 to 53%, and death without treatment is inevitable. Patients exhibit nonspecific symptoms such as fever, cough, respiratory distress, feeding intolerance, and irritability which can make appropriate diagnosis challenging in Peng et al. (2011) Pediatr Pulmonol 46(12), 1215-1224. Tuberculosis prevalence is particularly high in developing countries where access to resources can be limited in World Health Organization (2019) Global tuberculosis report 2019, Geneva. We present a 2.4-kg premature male infant with acute respiratory distress syndrome secondary to congenital tuberculosis caused by Mycobacterium bovis and tuberculosis-immune reconstitution inflammatory syndrome who was successfully supported with veno-arterial extracorporeal membrane oxygenation.
先天性结核病是一种罕见的传染病，全世界记录的病例不到 500 例。死亡率很高，范围在 34%至 53%之间，如果不治疗，死亡是不可避免的。患儿表现出非特异性症状，如发热、咳嗽、呼吸窘迫、喂养不耐受和烦躁不安，这使得在 Peng 等人（2011）的研究中，正确诊断具有挑战性。儿科肺脏学杂志 46(12), 1215-1224。在发展中国家，结核病的患病率特别高，在那里，资源的获取可能受到限制，世界卫生组织（2019）全球结核病报告 2019，日内瓦。我们报告了一例 2.4 公斤的早产儿男性，因牛分枝杆菌引起的先天性结核病导致急性呼吸窘迫综合征和结核病免疫重建炎症综合征，成功地接受了静脉-动脉体外膜氧合治疗。
