Congenital tuberculosis.

Abstract

A Case report of newborn with history preterm 35 weeks SGA whose diagnosed with pneumonia in both lower lungs after birth. He improved with antibiotics and was discharged when his body weight was 2000 gram at 23 days old. He came to hospital again for follow up at age 38 days, it was then found he'd had one day history of high grade fever, cough and abdominal distention. The diagnosis was bronchopneumonia with sepsis. After getting antibiotics for 2 days, he had no fever. On day 5th of admission he developed more dyspnea and progressive pneumonia. He needed ventilator support and developed shock, DIC, acute renal
failure and finally dead. His sputum from trachea via endotracheal tube showed AFB3+. Liver and lungs necropsy showed casious necrosis and AFB+. His cause of dead was congenital tuberculosis. Review of his mother history showed she had fever and cough on and off during her pregnancy. After 8 days of delivery, she had high fever and started to cough, her sputum AFB smear was negative and symptoms was not improved by antibiotics. She was finally diagnosed with Miliary tuberculosis and clinically improved by antituberculous drugs.