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Case Studies | Paediatrics | India | Volume 12 Issue 9, September 2023

Case Report on Congenital Tuberculosis

Dr. Vivek Gupta

Abstract: Congenital Tuberculosis is difficult to detect because the disease presents with few or no symptoms in the fetus during pregnancy and Non-specific symptoms in neonates. We report a case of 27 days old neonate having Congenital TB, born at term gestation, birth weight ? 2.360 kgs and an APGAR score of 9 & 10 at 1 & 5 minutes respectively, who presented to us in almost moribund condition with high grade fever, respiratory distress, and hepatomegaly. X-Ray was suggestive of multiple opacities with pneumonia. It was a full term/ IUCR delivered by Normal Vaginal Delivery (NVD)& birth weight was 2.320 kg. Initially multiple antibiotic therapies were given but no response was obtained. X Ray picture was suggestive of nodular & patchy opacities. Tuberculosis was suspected and Gene-X-pert for TB was sent. It was positive (+) and showed rifampicin sensitivity. ATT (2HRZE) was started, baby gradually started improving &ventilator settings came down. Neonate?s mother denied any TB contact history but told us that she had mildabdominal pain for last 2 months. In post-partum period too, mother had abdominal pain which was not recovered with routine treatment. USG was done and it showed mild free fluid with multiple internal septation and echos in pelvis & ascitic fluid ADA was positive.

Keywords: Congenital Tuberculosis, neonate, symptoms, X-Ray, pneumonia, antibiotic therapies, Gene-X-pert, rifampicin sensitivity, ATT, mother, abdominal pain, ascitic fluid

Edition: Volume 12 Issue 9, September 2023,

Pages: 1938 - 1942