通过体外受精受孕的两个早产婴儿患有肺结核
Yanrong Wang1, Jinrong Yang1, Yaping Liu1
1Department of Neonatology, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, Guangdong, China.
Paediatrics and international child health
|July 16, 2024
概括
在婴儿中早期诊断结核病 (TB) 是具有挑战性的. 这项研究报告了两个早产婴儿结核病病例,强调了接受生育治疗的妇女需要进行结核病查的必要性.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 新生儿科学 新生儿科学
背景情况:
- 由于非特异性临床症状,婴儿结核病 (TB) 的早期诊断存在重大挑战.
- 过早出生的婴儿特别容易受到严重的结核病症状的影响.
- 像体外受精 (IVF) 这样的辅助生殖技术可能会增加通过这些方法出生的婴儿的风险.
研究的目的:
- 在早产婴儿中报告两例早期发病的结核病.
- 强调结核病作为发烧的婴儿有呼吸困扰的关键差异诊断.
- 建议对正在接受不孕评估的妇女进行常规结核病查.
主要方法:
- 关于两名早产婴儿被诊断患有Mycobacterium结核病 (MTB) 感染的案例报告.
- 诊断方法包括Xpert聚合酶链反应 (PCR) 通过喉吸收获得的唾液.
- 审查了临床数据和母亲结核病状况.
主要成果:
- 通过试管婴儿受孕的两个早产婴儿在出生后不久被诊断出患有传播性结核病.
- 两名婴儿都出现了发烧和呼吸困难,最初接受了抗生素治疗,但没有改善.
- 这些母亲被诊断患有结核病,一个患有千里亚结核病和结核性脑膜炎,另一个患有肺结核和生殖器结核病.
结论:
- 在婴儿出现不明原因的发烧和呼吸困难时,应强烈考虑结核病.
- 寻求生育治疗的妇女进行常规结核病查至关重要,尤其是在高患病率地区.
- 及时诊断和抗结核治疗对于患有结核病的婴儿的良好结果至关重要.
相关概念视频
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