PERINATAL TUBERCULOSIS WITH MILLIARY PATTERN IN INFANT AGED 28 DAYS

  • Dian Savitri Department of Child Health, Udayana University Medical School/Sanglah Hospital Denpasar
  • Putu Siadi Purniti Department of Child Health, Udayana University Medical School/Sanglah Hospital Denpasar
  • Made Kardana Department of Child Health, Udayana University Medical School/Sanglah Hospital Denpasar

Abstract

Perinatal  tuberculosis  (TB) was a very  rare  case.  Its  clinical manifestations  could mimic bacterialinfection. The clinical course was often fulminant and characterized by dissemination and meningitis.Its mortality was very high, could achieve 100% in untreated patient. We reported a case of infant aged28  days  admitted with  breathlessness,  fever,  and  poor  feeding.  Physical  examination  showedbreathlessness, pale, lethargy, and hepatomegaly. Chest radiograph showed a feature of milliary patternwith fine tubercles in both lung, supported with positive result on gastric aspirates for acid fast bacilli3 days respectively. Gastric aspirate culture for Mycobacterium tuberculosis showed positive result.Patient then diagnosed with perinatal TB with milliary pattern. This condition was accompanied withsevere sepsis and meningitis. Four TB regimens (isoniazid, rifampisin, pirazinamide, and ethambutol),corticosteroid, antibiotics were given. The patient was eventually died after receiving TB therapy for 13days. [MEDICINA 2014;45:208-212].

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How to Cite
SAVITRI, Dian; PURNITI, Putu Siadi; KARDANA, Made. PERINATAL TUBERCULOSIS WITH MILLIARY PATTERN IN INFANT AGED 28 DAYS. Medicina, [S.l.], v. 45, n. 3, july 2015. ISSN 2540-8321. Available at: <https://ojs.unud.ac.id/index.php/medicina/article/view/15868>. Date accessed: 29 june 2022.

Keywords

tuberculosis, milliary, perinatal