Abstrakt: |
A prematurely born infant (35 weeks of gestational age) developed signs of respiratory insufficiency, and fever, beginning at the 17th day of life; x-ray examinations showed small and large spotted lung infiltrations which grew and confluated rapidly in spite of broad antibiotic treatment. At the 29th day intubation and artificial ventilation became necessary; cultures of tracheal fluid remained sterile, Ziehl-Neelsen stains were not done. The infant died at the age of 35 days. Only at autopsy the diagnosis " congenital tuberculosis" could be made; examinations of the mother who was thought to be healthy, revealed a severe epitheloid cell tuberculosis of the endometrium. -- Mode of transmission, pathology, clinical symptoms, prophylaxis, and therapy of congenital tuberculosis are being reviewed. |