Tuberculosis Mimicking Ileocecal Intussusception in a 5-Month-Old Girl

Author:

de Steenwinkel Jurriaan E. M.1,Driessen Gert-Jan A.2,Kamphorst-Roemer Margreet H.3,Zeegers Antoine G. M.4,Ott Alewijn1,van Westreenen Mireille1

Affiliation:

1. Department of Medical Microbiology and Infectious Diseases, Erasmus MC, University Medical Centre, Rotterdam, Netherlands

2. Department of Paediatric Infectious Diseases, Erasmus MC, University Medical Centre, Rotterdam, Netherlands

3. Subdivision Tuberculosis Control, Municipal Health Service, Rotterdam, Netherlands

4. Department of Urology, Albert Schweitzer Hospital, Dordrecht, Netherlands

Abstract

A 5-month-old girl was diagnosed with tuberculosis, mimicking ileocecal intussusception. The mother of the patient was later diagnosed with renal tuberculosis attributable to the same (unique) Mycobacterium tuberculosis strain. Possibly, that transmission occurred by aspiration or ingestion of infected amniotic fluid or urine, which could occur before or during birth. This case illustrates that tuberculosis can mimic other common diseases and, therefore, can be a difficult diagnosis to make. Because respiratory infection was very unlikely in this case, congenital tuberculosis or postnatal infection via infected urine or breast milk should be in the differential diagnosis. In this article, we focus on different (nonrespiratory) transmission routes of Mycobacterium tuberculosis and give a short review of the recent literature on congenital tuberculosis.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference17 articles.

1. World Health Organization (WHO). WHO report 2007: global tuberculosis control: surveillance, planning, financing (WHO/HTM/TB/2007.376). Available at: www.who.int/tb/publications/global_report/2007/en/. Accessed March 27, 2008

2. Cantwell MF, Shehab ZM, Costello AM, et al. Brief report: congenital tuberculosis. N Engl J Med. 1994;330(15):1051–1054

3. Beitzke H. Ueber die angeborene Tuberkuloese Infektion. Ergeb Gestamten Tuberkulose Forsch. 1935;7:1–30

4. Mazade MA, Evans EM, Starke JR, Correa AG. Congenital tuberculosis presenting as sepsis syndrome: case report and review of the literature. Pediatr Infect Dis J. 2001;20(4):439–442

5. Hageman J, Shulman S, Schreiber M, Luck S, Yogev R. Congenital tuberculosis: critical reappraisal of clinical findings and diagnostic procedures. Pediatrics. 1980;66(6):980–984

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