Early Diagnosis and Treatment Problems with Perinatal Tuberculosis as a Challenge to Health Care Providers
International Journal of Infectious Diseases and Therapy
Volume 2, Issue 1, March 2017, Pages: 22-24
Received: Jan. 18, 2017; Accepted: Feb. 6, 2017; Published: Feb. 24, 2017
Views 2141      Downloads 80
Authors
Eduardo Alfredo Duro, Faculty of Health Sciences, University of Moron, Buenos Aires, Argentina; Magdalena V de Martínez General Hospital, Buenos Aires, Argentina
Elizabeth Marcela Rizzo, Magdalena V de Martínez General Hospital, Buenos Aires, Argentina
Article Tools
Follow on us
Abstract
The diagnosis of tuberculosis (TB) in a newborn is often difficult as clinical signs are nonspecific. Neonatal infection is rare but it has a mortality up to 50%. The suspicion of TB in the mother is a powerful tool for diagnosis in the neonate, but physicians need to make mandatory steps to consider maternal TB in countries where the incidence is high. In this report we present two newborns with perinatal TB, the different clinical aspects in their mothers, and the problems that arised during investigation and diagnosis. We emphasize the need for improvement regarding screening of women at risk and sensitization of the medical community about this entity. We need to think in TB.
Keywords
Perinatal Tuberculosis, Mycobacterium Tuberculosis, Tuberculosis Control, Vertical Infection, Maternal-Fetal Infection
To cite this article
Eduardo Alfredo Duro, Elizabeth Marcela Rizzo, Early Diagnosis and Treatment Problems with Perinatal Tuberculosis as a Challenge to Health Care Providers, International Journal of Infectious Diseases and Therapy. Vol. 2, No. 1, 2017, pp. 22-24. doi: 10.11648/j.ijidt.20170201.15
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Tiemersma EW, Van der Werf M, Borgdorff MW, Williams BG, Nagelkerke NJ. Natural history of tuberculosis: duration and fatality of untreated pulmonary tuberculosis in HIVnegative patients: A systematic review. PLoS ONE 2011 6 (4): e17601.
[2]
Loto OM, Awowole I. Tuberculosis in Pregnancy: A Review. Journal of Pregnancy. 2012; 2012: 379-271. doi:10.1155/2012/379271.
[3]
National Institute of Respiratory Diseases (INER) “Emilio Coni”, National Administration of Laboratories and Health Institutes (ANLIS), 2012. http://www.anlis.gov.ar/inst/INER/.
[4]
Cantwell MF, Shehab ZM, Costello AM, Sands L, Green LF, Ewing EP, et al. Congenital Tuberculosis. N Engl J Med 1994; 330: 1051-1054.
[5]
Singh M, Kothur K, Dayal D, Kusuma S. Perinatal tuberculosis: a case series. J Trop Pediatr 2007; 53: 135–138.
[6]
Surve TY, Malkani M, Mhatre A, Samdani VP Congenital TB associated with asymptomatic maternal endometrial TB Trop Doct. 2006 Jan;36 (1): 59-61.
[7]
Olabisi M. Loto and Ibraheem Awowole, “Tuberculosis in Pregnancy: A Review,” Journal of Pregnancy, vol. 2012, Article ID 379271, 7 pages, 2012. doi:10.1155/2012/379271.
[8]
Whittaker E, Kampmann B. Perinatal tuberculosis New challenges in the diagnosis and treatment of tuberculosis in infants and the newborn. Early Human Development 2008; 84: 795–799.
[9]
Espiritu N, Aguirre L, Jave O, Sanchez L, Kirwan DE, Gilman RH. Congenital Transmission of Multidrug-Resistant Tuberculosis. Am J Trop Med Hyg 2014; 91 (1): 92–95.
[10]
Baquero-Artigao F, Mellado Peña MJ, Del Rosal Rabes T, Noguera Julián A, Goncé Mellgren A, de la Calle Fernández-Miranda M, Navarro Gómez ML; Working Group on gestational, congenital, and postnatal tuberculosis, Spanish Society of Pediatric Infectious Diseases (PFIC). Spanish Society for Pediatric Infectious Diseases guidelines on tuberculosis in pregnant women and neonates: Epidemiology and diagnosis. Congenital tuberculosis. An Pediatr (Barc). 2015 Oct;83 (4): 285.e1-8. doi: 10.1016/j.anpedi.2015.01.004.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186