Childhood Tuberculosis: Diagnostic Problems, Relating to A Case in the Health District of Douentza

Abstract

Tuberculosis is a tropical pathology caused by Mycobacterium Tuberculosis. Public heath problem in developing countries with a polymorphous clinical picture. OBSERVATION: It was a 67-day-old infant, weighing 3350 g, admitted for fever, whining, hacking cough, prostration for which traditional treatment based on chest massage and medical treatment at home was unsuccessful. The clinical examination revealed conjunctival pallor, dry skin, a temperature of 38°3c, and a bulging anterior fontanelle. The blood count returned to 11000/Fields. Faced with this picture, a neonatal infection or meningitis was mentioned. An initial treatment based on dual antibiotics (Ampicillin, Gentamicin) was administered without success. The evolution was marked by the persistence of the cough, respiratory distress and the lumbar puncture suggesting neonatal tuberculosis placed under protocol 2 RHZ(E) /10RE. After 22 days, the infant died.