Congenital Tuberculosis: A silent foe.

Tuberculosis is a very common disease in India affecting thousands of people, though congenital transmission is very rare and not well known to most clinicians. We present a ten week old infant who presented with marked cervical lymphadenopathy, fever, failure to thrive, hepatosplenomegaly, and bilateral chest crepitations. Investigations were positive for mycobacterium tuberculosis. The baby showed significant improvement to treatment and could be discharged home.