A case of congenital tuberculosis

Abstract

Summary 1. An infant aged 49 days died of a tuberculous infection involving the liver, spleen and lungs. 2. The congenital origin is proved by the size of the portal gland which exceeded by far any other gland. 3. Pulmonary foci were present which could have been mistaken for exogenous lesions; but they were recognised as blood-borne by— (a) the transitional stages between miliary disseminations and the large foci in all organs; (b) the condition of the regional lymph gland. 4. This case shows that not only miliary but also large-solitary-caseous foci can be h˦mic in origin.