http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Congenital miliary tuberculosis in an 18-day-old boy
Jue Seong Lee,Chang Hoon Lim,Eun Ji Kim,Hyunwook Lim,Yoon Lee,정지태,유영 대한소아청소년과학회 2016 Clinical and Experimental Pediatrics (CEP) Vol.59 No.no.sup1
Congenital tuberculosis (TB) is a rare disease that is associated with high mortality. Mycobacterium tuberculosis, the causative agent, may be transmitted from the infected mother to the fetus by the transplacental route or by aspiration of infected amniotic fluid. Clinical symptoms and signs are not specific. Miliary patterns are the most common findings in the chest X-rays of many infants with congenital TB. In this case, an 18-day-old boy had jaundice on the fifth day of birth, and fever and respiratory distress appeared on the 18th day. Chest X-ray showed diffuse fine bilateral infiltration. Clinically, pneumonia or sepsis was suspected. Respiratory symptoms and chest X-ray findings worsened despite empirical antibiotic therapy. The lungs showed miliary infiltration suggestive of TB. Gastric aspirates were positive for M. tuberculosis. Respiratory distress and fever were gradually improved after anti-TB medication. Congenital TB is difficult to detect because of minimal or no symptoms during pregnancy and nonspecific symptoms in neonates. Hence, clinicians should suspect the possibility of TB infection even if neonates have non-specific symptoms. Early diagnosis and meticulous treatment are required for the survival of neonates with TB.
Congenital miliary tuberculosis in an 18-day-old boy
Lee, Jue Seong,Lim, Chang Hoon,Kim, Eunji,Lim, Hyunwook,Lee, Yoon,Choung, Ji Tae,Yoo, Young The Korean Pediatric Society 2016 Clinical and Experimental Pediatrics (CEP) Vol.59 No.no.sup1
Congenital tuberculosis (TB) is a rare disease that is associated with high mortality. Mycobacterium tuberculosis, the causative agent, may be transmitted from the infected mother to the fetus by the transplacental route or by aspiration of infected amniotic fluid. Clinical symptoms and signs are not specific. Miliary patterns are the most common findings in the chest X-rays of many infants with congenital TB. In this case, an 18-day-old boy had jaundice on the fifth day of birth, and fever and respiratory distress appeared on the 18th day. Chest X-ray showed diffuse fine bilateral infiltration. Clinically, pneumonia or sepsis was suspected. Respiratory symptoms and chest X-ray findings worsened despite empirical antibiotic therapy. The lungs showed miliary infiltration suggestive of TB. Gastric aspirates were positive for M. tuberculosis. Respiratory distress and fever were gradually improved after anti-TB medication. Congenital TB is difficult to detect because of minimal or no symptoms during pregnancy and nonspecific symptoms in neonates. Hence, clinicians should suspect the possibility of TB infection even if neonates have non-specific symptoms. Early diagnosis and meticulous treatment are required for the survival of neonates with TB.
Jiwon Park,Kyoung Sim Kim,Yong Wook Kim,Eun Young Kim,Young Kim,Hae In Jang,Hyoung Min Cho 조선대학교 의학연구원 2022 Medical Bilogical Science and Engineering Vol.5 No.1
Congenital tuberculosis infection is very rare, but fatal. Congenital tuberculosis should always be considered among the many causes of pneumonia, especially if the newborn has pneumonia that does not respond to treatment. We report a case of a premature infant born to a mother who had no evidence of tuberculosis infection. The patient was the first of the twins born by cesarean section at 30 weeks and 1 day of gestation. The 21st day after birth, the patient developed apnea, tachycardia, and tachypnea. The medical staff assumed sepsis and bacterial pneumonia. Despite antibiotic treatment, the patient’s condition worsened. On the 63rd day after birth, the mother of the infant visited the emergency room complaining of fever and decreased consciousness and was diagnosed with tuberculous meningitis. Mycobacterium tuberculosis was detected in the AFB stain, TB PCR, and TB culture.
김길현,김상희,류일,김동준,이학수 대한감염학회 1996 감염 Vol.28 No.1
Perinatal tuberculosis has been relatively rare; less than 300 cases have been reported in the worldwide medical literature and can be either truly congenital or truly neonatal. True congenital tuberculosis can be acquired infection via the umbilical cord or amniotic fluid. We reported a case of congenital tuberculosis in a 21 day old male neonate whose mother was diagnosed as miliary tuberculosis for the first time on the 12th days after normal full-term delivery at local clinic. He was admitted due to fever, productive cough and intermittent cyanosis(PaO₂=55.5mmHg at room air) and confirmed by chest radiograph, high resolution computerized tomograph of the chest, and AFB stain and culture of gastric aspiration fluid. He was successfully treated with conservative care, ventilator, antituberculosis drugs and prednisolone, and showed normal growth and development on 10 month follow up
양재혁,이지선,송은송 대한주산의학회 2022 Perinatology Vol.33 No.3
Objective: We report the management and 2 years follow-up of newborns in the neonatal intensive care unit (NICU) exposed to congenital tuberculosis (Tb). Methods: Preterm twins born to a mother diagnosed with Tb 2 months after delivery were diagnosed with congenital Tb in other hospital where they were transferred. An epidemiological investigation and management plans were conducted for contacts. Medical staff classified as contacts perform an interferon-gamma release assay (IGRA) and chest X-ray. A physical examination, history taking, and chest X-ray were performed on newborns classified as contacts to check for active Tb infection. Tuberculin skin test (TST) was performed 3 months after the last exposure or 3 months of corrective age, whichever is later. Until then, they took isoniazid (INH) prophylactically. Chest X-ray and symptom follow-up were performed every 6 months for 2 years. Results: Of the total 78 neonates, 8 were classified as contacts. No one was suspected of having active Tb. While taking INH, there were no significant side effects. A TST was positive in one newborn. During follow-up, no one showed any signs of active Tb. The chest X-ray and IGRA test of 4 patients admitted to the same room with the mother were all negative. All the medical staff’s chest X-ray was normal. But 4 medical staff were diagnosed with latent Tb by IGRA. Conclusion: Tb management guidelines in NICU have not been standardized and clear. This research will help manage Tb in NICU, as most of the contacts were premature.