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Maternal and fetal infection with Mycobacterium tuberculosis
  1. SHARON CHEN
  1. Centre for Infectious Diseases and Microbiology
  2. Westmead Hospital
  3. Hawkesbury Road
  4. Westmead
  5. NSW 2145
  6. Australia

    https://doi.org/10.1136/fn.77.1.F77a

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      Editor—Tuberculosis (TB) in pregnancy is rare and neonatal TB is very rare.1 2 We describe a case of fatal congenital TB resulting from disseminated maternal infection with Mycobacterium tuberculosis.

      Case report

      An otherwise healthy 24 year old Indian woman who had recently emigrated to Australia presented at 33 weeks of gestation with generalised pruritus. Routine antenatal screening tests at 25 weeks of gestation showed nothing untoward. Physical signs were normal, apart from a temperature of 37.5°C. Serum alkaline phosphatase, alanine transferase, total bilirubin and serum bile acid values were all increased. Abdominal ultrasonography showed that the liver and biliary tree were normal.

      She was diagnosed as having cholestasis of pregnancy and …

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