SciELO - Scientific Electronic Library Online

 
vol.86 issue2A familial case of lamellar ichthyosisEating disorders author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista mexicana de pediatría

Print version ISSN 0035-0052

Abstract

BAEZA-COMAS, Alejandro; PAREDES-ALONSO, Iris Evelin  and  FERNANDEZ-LUNA, Claudia Paola. Disseminated tuberculosis transmitted by a granulomatous lesion of the maternal breast during lactation. A case report. Rev. mex. pediatr. [online]. 2019, vol.86, n.2, pp.75-79.  Epub Nov 27, 2020. ISSN 0035-0052.

Introduction:

Perinatal tuberculosis (PT) refers to the infection that occurs at birth or in the neonatal period. This article reviews a patient with PT, in whom it was suspected that the infection occurred because the mother had lesions compatible with tuberculous mastitis.

Case description:

We present a patient of a two-month-old infant from Acapulco, Guerrero, who had a clinical picture of several weeks of evolution with fever up to 40oC, as well as adenopathies in the left cervical region and hepatomegaly. Bacilloscopy of gastric juice led to the diagnosis of tuberculosis. At the same time, his mother had a lesion in the left breast that progressively increased in size and mastitis was suspected, so breastfeeding was interrupted. Because the lesion increased, a biopsy was performed and Mycobacterium tuberculosis was detected by PCR. Therefore, it was considered that his son probably contracted tuberculosis by contact.

Conclusions:

The diagnosis of PT is a clinical challenge, given the non-specific signs and symptoms. In this patient, the association of lesions in the mother’s breast helped to establish the diagnosis.

Keywords : Perinatal tuberculosis; congenital tuberculosis; tuberculous mastitis; infant.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )