病例报告:先天性耐多药结核病

Hongyi Zhang, Lu Xia, Peize Zhang
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摘要

先天性耐多药结核病(MDR-TB)是一种死亡率很高的罕见疾病。我们报告了一例患有先天性耐多药结核病的新生女婴。婴儿的母亲接受了体外受精-胚胎移植手术,分娩前未出现任何症状。婴儿出生第 14 天后,尽管接受了抗生素治疗,但仍出现发烧和呼吸困难。随后,她被证实患有先天性耐药结核病,并接受了通气和抗结核治疗。婴儿的结核病确诊后,她的母亲也接受了结核病筛查,结果发现她患有耐多药结核病,肺部和生殖系统均受到影响。她们都康复出院,抗结核治疗仍在继续。
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Case report: Congenital multidrug-resistant tuberculosis
Congenital multidrug-resistant tuberculosis (MDR-TB) is a rare disease with high mortality. We report a case of a neonate girl with congenital MDR-TB. The infant's mother underwent in vitro fertilization–embryo transfer and did not show any symptoms prior to delivery. After the 14th day of life, the infant had a fever and worsening difficulty breathing despite antibiotic treatment. She was then confirmed to have congenital MDR-TB and received ventilation and anti-TB treatment. When the infant's TB was diagnosed, her mother was screened for TB and found to have MDR-TB, affecting both her lungs and reproductive system. They both recovered and were discharged from the hospital, with anti-TB treatment ongoing.
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