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Perinatal tuberculosis a case series
Meenu Singh1, Kavitha Kothur, Devi Dayal
1Department of Pediatrics, Pediatric Pulmonology Unit, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India. meenusingh4@rediffmail.com
Insights
Perinatal tuberculosis is rare and difficult to diagnose, often missed without high suspicion. Early detection and screening of at-risk mothers are crucial for managing this condition.
Area of Science:
- Neonatology
- Infectious Diseases
- Public Health
Background:
- Perinatal tuberculosis (TB) remains poorly understood, with limited case reports even in high-incidence regions.
- Accurate diagnosis of perinatal TB requires a high index of clinical suspicion to avoid delays.
Observation:
- This report details one case of congenital tuberculosis and three cases of perinatal tuberculosis.
- The study highlights challenges encountered during the investigation and management of these cases.
Findings:
- Congenital tuberculosis is distinct from early postnatal acquisition, primarily for epidemiological insights.
- The presented cases underscore diagnostic and therapeutic complexities in perinatal TB.
Implications:
- Enhanced screening protocols for pregnant women at risk of tuberculosis are recommended.
- Increased medical community awareness regarding perinatal tuberculosis is essential for timely diagnosis and intervention.
Abstract:
Perinatal tuberculosis is insufficiently understood and has been rarely reported even in areas endemic for the disease, and unless a high index of suspicion is maintained the diagnosis can be missed. Differentiation of congenital from early postnatally acquired tuberculosis is only of epidemiological importance. We hereby report one case of congenital tuberculosis and three cases of perinatal tuberculosis, and problems faced during investigation and management and emphasize need for improved screening of women at risk and sensitization of the medical community about this entity.
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