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Year : 2020  |  Volume : 11  |  Issue : 1  |  Page : 79-81

Congenital tuberculosis: A diagnosis delayed in a child with atrial septal defect

1 Department of Pathology, Maulana Azad Medical College, Delhi, India
2 Department of Pathology, Chacha Nehru Bal Chikitsalaya, Delhi, India
3 Department of Paediatrics, Chacha Nehru Bal Chikitsalaya, Delhi, India

Correspondence Address:
Dr. Lavleen Singh
Department of Pathology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi - 110 031
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/atp.atp_42_19

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Congenital tuberculosis (CTB) is a rare disease presenting in infants with very few cases reported despite a high burden of tuberculosis. The fewer reported cases reflect in part the difficulty in making a definitive clinical diagnosis as signs and symptoms are non- specific along with difficult laboratory confirmation due to several reasons. We report a case of 4-month-old male child presenting with fever and cough for 3 months and respiratory distress and feeding difficulties for 5 days with no response to antibiotics. Systemic examination revealed bilateral crepitations, pansystolic murmur, and hepatosplenomegaly. Echocardiography revealed an 8 mm atrial septal defect. The patient did not respond to decongestive therapy. Ultrasonography revealed an enlarged liver with a 12 cm liver span. Liver biopsy showed necrotizing epithelioid cell granuloma. Based on the Cantwell's criteria, the diagnosis of CTB was proffered.

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