Thursday, June 23, 2011

Neonatal infections - Neonatal infection with Mycoplasma tuberculosis

The infection is transmitted from mother to newborn, usually afterdirect contact with birth mother or person with active disease, is transmitted transplacental infection rarely
The disease is asymptomatic newborn or symptoms may occur at birth, most likely at 8 weeks after birth, on average 4-8 weeks.

Nonspecific clinical signs are impaired thermoregulation,respiratory distress syndrome, irritability, lethargy, poor feeding,hepatosplenomegaly, lymphadenopathy, jaundice, skin rashpapular level, neurological disorders.

Profilcatic Treatment consists of: identifying high-risk pregnant women, infants separated mothers with active TB, to negativareasputum, BCG vaccination in newborn. Nascutl risk newborn is treated with isoniazid 10mg/kgc/zi. Newborn with meningeal form:streptomycin plus isoniazid plus dexamethasone plus Rifadin istrateaza10 months.

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