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Vol.33 No.2 contents | Japanese/English |
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Full Text of PDF (634K) Article in Japanese |
Hospital Infection Control for Tuberculosis in an Infant and His Mother
Ichiro TAKAJO1)2), Mai ARATAKE1), Mayumi FUKUDA1), Yasutoshi HIRABARA1), Yuji SAEKI1) and Akihiko OKAYAMA1)2)
1)Center for Infection Control, Miyazaki University Hospital, 2)Rheumatology and Infectious Diseases, Miyazaki University Hospital
A 10-month-old male was transferred to our hospital because of fever, convulsion, and exacerbation of hydrocephalus. Although acid-fast bacilli smear of blood, spinal fluid, gastric juice, and intratracheal sputum was negative, image analysis strongly suggested miliary tuberculosis with meningitis. We isolated the patient and initiated treatment for tuberculosis. The patient's mother reported a history of tuberculosis in her childhood and respiratory symptoms. She was diagnosed with active pulmonary tuberculosis on the patient's fourth day of hospitalization. Confirmation of the diagnosis of tuberculosis in the child required 3 weeks. This case of tuberculosis in an infant and his mother yielded the following lessons: Prompt isolation of the patient is important even prior to a confirmed diagnosis of tuberculosis. A precise history of the patient's family members is required because of their potential as a source of infection. Tuberculosis-positive family members are a potential source of hospital infection because they are often present with the child in the hospital.
Key words：infantile tuberculosis, miliary tuberculosis, tuberculous meningitis, intrafamilial infection, nosocomial infection control
e-mail: ichiro_takajo＠med.miyazaki-u.ac.jp
Received: November 13, 2017
Accepted: December 23, 2017
33 (2)：81─86,2018
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