Tuberculosis congénita. Presentación de caso clínico

Tuberculosis congénita. Presentación de caso clínico

We are presenting the case of less than to 2 month old and premature infant. She had Hyaline Membrane Disease and required mechanical ventilation during 6 days. At the first month, she presented a viral rhinopharyngitis symptomatology, perioral cyanosis with apnea, and respiratory distress. The chest X-ray showed multiple bilateral hyperlucid images, mainly at the right side. Afterwards, the patient presented intermittent fever of long evolution, and initially received treatment for cavitary bronchopneumonia and sequel of mechanical ventilation, receiving multiple antimicrobial antibiotics.

The mother had intermittent fevers since the sixth month of pregnancy and was hospitalized for suspected endometritis after delivery. She presented clinical impairment which evolved to sepsis and died in the ICU. The endometrial histopathology showed granulomas suggesting tuberculosis. Due to long history of fevers in the baby and the genital tuberculosis in the mother, a tuberculosis study was performed in the girl, which resulted positive.