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Sonographic diagnosis of congenital tuberculosis: an experience with four cases

S B Grover1, D K Taneja, A Bhatia

  • 1Department of Radiology and Imaging, Safdarjang Hospital, New Delhi 110029, India.

Abdominal Imaging
|October 12, 2000
PubMed

Insights

Congenital tuberculosis in infants presents with fever and enlarged liver/spleen. Ultrasound reveals characteristic lesions, enabling early diagnosis of this severe condition.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Radiology

Background:

  • Congenital tuberculosis is a rare but severe condition.
  • Early diagnosis is crucial for effective treatment and improved outcomes.

Observation:

  • Four infants presented with pyrexia (fever) and hepatomegaly (enlarged liver).
  • Abdominal sonography revealed multiple hypoechoeic (darker) foci in the liver and spleen.

Findings:

  • Biopsies of these foci confirmed caseating granulomas with acid-fast bacilli, indicative of tuberculosis.
  • Maternal endometrial tuberculosis and absence of tuberculosis in contacts supported the diagnosis of congenital tuberculosis.

Implications:

  • This case highlights the importance of clinical suspicion in diagnosing congenital tuberculosis.
  • Abdominal sonography is a valuable tool for early detection and antemortem diagnosis of this potentially fatal disease.

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