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Katumba-Lunyenya et al present a fascinating but sad case.
ROUTE OF INFECTION AND INFECTIVITY
Neonatal tuberculosis is usually caused by someone, usually the mother, with open pulmonary tuberculosis coughing on the baby.1 This mother apparently did not have open tuberculosis, so spread must have been transplacental, leading to disseminated, congenital tuberculosis. Did the baby have clinical or autopsy evidence of extrapulmonary tuberculosis?
Most children with tuberculosis disease are not contagious. Exceptions include children with adult-type cavitary lung disease, those with sputum that is smear positive for acid fast bacilli, and those with …