Case Report on Congenital Tuberculosis

Congenital Tuberculosis is difficult to detect because the disease presents with few or no symptoms in the fetusduring pregnancy and Non-specific symptoms in neonates.We report a case of 27 days old neonate having Congenital TB, born at term gestation, birth weight -2.360 kgs and an APGAR score of 9 & 10 at 1 & 5 minutes respectively, who presented to us in almost moribund condition with high grade fever, respiratory distress, and hepatomegaly.X-Ray was suggestive of multiple opacities with pneumonia.It was a full term/ IUCR delivered by Normal Vaginal Delivery (NVD)& birth weight was 2.320 kg.Initially multiple antibiotic therapies were given but no response was obtained.X Ray picture was suggestive of nodular & patchy opacities.Tuberculosis was suspected and Gene-X-pert for TB was sent.It was positive (+) and showed rifampicin sensitivity.ATT (2HRZE) was started, baby gradually started improving &ventilator settings came down.Neonate's mother denied any TB contact history but told us that she had mildabdominal pain for last 2 months.In post-partum period too, mother had abdominal pain which was not recovered with routine treatment.USG was done and it showed mild free fluid with multiple internal septation and echos in pelvis & ascitic fluid ADA was positive.