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Published on: September 5, 2017
Disseminated congenital tuberculosis presenting as peritonitis in an infant
Mi Hyun Lee1, Gye-Yeon Lim, Jae Hee Chung
1Department of Radiology, St. Mary's Hospital, The Catholic University of Korea, #62, Yeouido-dong, Yongdungpo-gu, Seoul, 150-713, Korea.
Insights
Early diagnosis of congenital tuberculosis in infants is crucial for a cure but challenging due to nonspecific symptoms. This case highlights disseminated congenital tuberculosis presenting as chylous ascites.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neonatology
Background:
- Congenital tuberculosis is a rare but curable condition.
- Early diagnosis in infants is difficult due to nonspecific clinical presentations.
- A high index of suspicion is essential for timely diagnosis.
Observation:
- The study reports a case of disseminated congenital tuberculosis in an infant.
- The infant presented with chylous ascites and peritonitis.
- The infection involved multiple organs including the chest, liver, spleen, abdominal lymph nodes, mesentery, and peritoneum.
Findings:
- Disseminated congenital tuberculosis can manifest with unusual symptoms like chylous ascites.
- Nonspecific findings in infants necessitate thorough investigation for rare diseases.
- This case underscores the importance of considering tuberculosis in the differential diagnosis of neonatal ascites.
Implications:
- Early and accurate diagnosis of congenital tuberculosis can lead to successful treatment.
- Increased awareness among clinicians is needed to improve the detection of this rare condition in neonates.
- This case contributes to the understanding of the diverse clinical presentations of congenital tuberculosis.
Abstract:
Congenital tuberculosis is a rare disease which is curable after early diagnosis. Making an early diagnosis of tuberculosis in an infant is difficult, however, because of its nonspecific clinical findings. It therefore requires a high index of suspicion. In this paper we report the case of an infant with disseminated congenital tuberculosis involving the chest, liver, spleen, abdominal lymph nodes, mesentery, and peritoneum, and which presented as chylous ascites with peritonitis.
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