ABSTRACT
Introduction: Postnatally acquired tuberculosis is a seriousdisease caused by mycobacterium tuberculosis. It is fatal ifleft untreated. Following case report emphasises the needto consider tubercular infection in newborns and infantspresenting with pulmonary infections particularly in Indiawhere burden of Tb is high.Case report: we present a case of 68 days old female infantbrought to us with cough & respiratory distress. Investigationsrevealed tubercular infection, which the patient acquiredpostnatally from her paternal aunt, who was taking care of thechild in the initial few days of her life.Conclusion: India is a country with high Tb prevalence.Therefore, in our country, physicians need to have a highindex of suspicion for congenital or perinatal tuberculosiswhile evaluating infants with pneumonia. Early diagnosis andtreatment improves the prognosis significantly.Keywords: Tuberculosis, Hepatosplenomegaly,