Congenital Miliary Tuberculosis in a Seven Day Neonate

Congenital tuberculosis (TB) is rarely reported in India inspite of India being a country having endemic TB. We present a neonate with congenital TB who presented on day seven with fever, hepatosplenomegaly and miliary shadows on chest X-ray (CXR). Gastric lavage for acid-fast bacilli (AFB) isolated Mycobacterium tuberculosis (MTB) complex and mother was subsequently diagnosed to have disseminated TB.