Abstract
INTRODUCTION: Congenital tuberculosis (TB) is transmitted from mother to foetus via trans-placental or ingestion of infected amniotic fluid. Though the global incidence rate of congenital TB is very low, it poses high fatality rate. CASE PRESENTATION: A case of congenital tuberculosis in a baby born to a single underaged girl was reported in Gombak in 2018. Pregnancy confirmed coincidentally at government clinic when she sought treatment for cough and breathing difficulty in October 2017. She defaulted antenatal appointments till March 2018 when she presented with giddiness, lethargy, palpitation and breathing difficulty and immediately admitted to a government hospital. Treated for anaemia and discharged after blood transfusion the next day. TB screening not carried out nor advised by both the clinic and hospital although it was documented that her father was a TB patient who had defaulted treatment in 2005 and 2013. Upon delivery, the baby had breathing difficulties and diagnosed to have congenital pneumonia. Baby was discharged after five days to adopted parents. On day 20 of life, the adopted parents brought the baby to another government hospital for intermittent fever last 4 days. Baby was diagnosed to have congenital TB (sputum positive with chest x-ray findings bilaterally) and passed away on day 86 of life in NICU. The case highlights the importance of vigorous defaulter and contact tracing mechanism and prompt TB work out among antenatal mothers once positive history is elicited. CONCLUSION: TB screening must be part of routine antenatal care and the slightest suspicion should warrant prompt assessment.
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@proceedings{APCPH-2019-144,
title = {Congenital TB: Where Did We Go Wrong?},
author = {Shreema Rasiah and Farah Wahida Mohamad and Poovelighlan Vimal Veerasunthar and Mohd Izuan Mohd Desa and Suraya Syazmin Simon Johan and Asama Jaafar and Nur Suhaina Abu Sabri},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Congenital tuberculosis (TB) is transmitted from mother to foetus via trans-placental or ingestion of infected amniotic fluid. Though the global incidence rate of congenital TB is very low, it poses high fatality rate. CASE PRESENTATION: A case of congenital tuberculosis in a baby born to a single underaged girl was reported in Gombak in 2018. Pregnancy confirmed coincidentally at government clinic when she sought treatment for cough and breathing difficulty in October 2017. She defaulted antenatal appointments till March 2018 when she presented with giddiness, lethargy, palpitation and breathing difficulty and immediately admitted to a government hospital. Treated for anaemia and discharged after blood transfusion the next day. TB screening not carried out nor advised by both the clinic and hospital although it was documented that her father was a TB patient who had defaulted treatment in 2005 and 2013. Upon delivery, the baby had breathing difficulties and diagnosed to have congenital pneumonia. Baby was discharged after five days to adopted parents. On day 20 of life, the adopted parents brought the baby to another government hospital for intermittent fever last 4 days. Baby was diagnosed to have congenital TB (sputum positive with chest x-ray findings bilaterally) and passed away on day 86 of life in NICU. The case highlights the importance of vigorous defaulter and contact tracing mechanism and prompt TB work out among antenatal mothers once positive history is elicited. CONCLUSION: TB screening must be part of routine antenatal care and the slightest suspicion should warrant prompt assessment.},
note = {Type: POSTER PRESENTATION; Organisation: Gombak District Health Office},
keywords = {antenatal screening, apcph2019, case report, congenital tuberculosis},
pubstate = {published},
tppubtype = {proceedings}
}