The number of cases of tuberculosis in women of childbearingage increased 41 percent in the United States between 1985 and1992 (Centers for Disease Control and Prevention [CDC]: unpublisheddata). The risk of tuberculosis in pregnancy has probably alsoincreased, leading to an increased risk of congenital tuberculosis.
We describe two patients with congenital tuberculosis. We alsoreview the 29 cases reported since 1980 and propose revisedcriteria for distinguishing congenital from postnatally acquiredtuberculosis.
Case Reports
Patient 1
A 24-day-old Hispanic male infant presented with a one-day historyof respiratory distress, vomiting, and poor feeding. A physicalexamination revealed hepatosplenomegaly. A chest . . . [Full Text of this Article]
Patient 2
Discussion
Source Information
From the Division of Tuberculosis Elimination, National Center for Prevention Services (M.F.C., S.E.V., I.M.O.), and the Scientific Resources Program, National Center for Infectious Diseases (E.P.E.), Centers for Disease Control and Prevention, Atlanta; the Department of Pediatrics and the Steele Memorial Children's Research Center, University of Arizona, Tucson (Z.M.S.); University Medical Center, Tucson, Ariz. (A.M.C.); Arizona Department of Health Services, Phoenix (L.S.); and the Public Health Service Indian Hospital, Albuquerque, N.M. (W.F.G.).
Address reprint requests to Dr. Cantwell at the Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, 1600 Clifton Rd., E-10, Atlanta, GA 30333.
References
Related Letters:
Congenital Tuberculosis
Lackmann G. M., Kabra S. K., Jain Y., Madhulika , Bagga A., Schiffman R., Cantwell M. F., Valway S. E., Onorato I. M.
Extract |
Full Text
N Engl J Med 1994;
331:548-549, Aug 25, 1994.
Correspondence
This article has been cited by other articles:
Patel, S., DeSantis, E. R. H.
(2008). Treatment of congenital tuberculosis. Am J Health Syst Pharm
65: 2027-2031
[Abstract][Full Text]
Fakhraee, S. H., Kazemian, M.
(2008). Index of Suspicion in the Nursery. NeoReviews
9: e310-e312
[Full Text]
de Steenwinkel, J. E. M., Driessen, G.-J. A., Kamphorst-Roemer, M. H., Zeegers, A. G. M., Ott, A., van Westreenen, M.
(2008). Tuberculosis Mimicking Ileocecal Intussusception in a 5-Month-Old Girl. Pediatrics
121: e1434-e1437
[Abstract][Full Text]
Singh, M., Kothur, K., Dayal, D., Kusuma, S.
(2007). Perinatal Tuberculosis a Case Series. J Trop Pediatr
53: 135-138
[Abstract][Full Text]
Nicolaidou, P., Psychou, F., Stefanaki, K., Tsitsika, A., Syriopoulou, V.
(2005). Congenital Tuberculosis: A Case Report. CLIN PEDIATR
44: 451-453
Chen, A., Shih, S.-L.
(2004). Congenital Tuberculosis in Two Infants. Am. J. Roentgenol.
182: 253-256
[Full Text]
Ormerod, P
(2001). Respiratory diseases in pregnancy {bullet} 3: Tuberculosis in pregnancy and the puerperium. Thorax
56: 494-499
[Full Text]
(2000). Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection . This Official Statement of the American Thoracic Society was adopted by the ATS Board of Directors, July 1999. This is a Joint Statement of the American Thoracic Society (ATS) and the Centers for Disease Control and Prevention (CDC). This Statement was endorsed by the Council of the Infectious Diseases Society of America (IDSA), September 1999, and the sections of this Statement as it relates to infants and children were endorsed by the American Academy of Pediatrics (AAP), August 1999.. Am. J. Respir. Crit. Care Med.
161: S221-247
[Full Text]
Curtis, A. B., Ridzon, R., Vogel, R., McDonough, S., Hargreaves, J., Ferry, J., Valway, S., Onorato, I. M.
(1999). Extensive Transmission of Mycobacterium tuberculosis from a Child. NEJM
341: 1491-1495
[Abstract][Full Text]
Lackmann, G. M., Kabra, S. K., Jain, Y., Madhulika, , Bagga, A., Schiffman, R., Cantwell, M. F., Valway, S. E., Onorato, I. M.
(1994). Congenital Tuberculosis. NEJM
331: 548-549
[Full Text]