The presentation of congenital tuberculosis (TB) is varied, with frequent extrapulmonary disease, but congenital spinal TB has been rarely reported. We present 2 cases of spinal TB (1 confirmed, 1 clinical diagnosis) in HIV-exposed infants with likely congenital transmission. Increased vigilance for congenital TB, including uncommon presentations, is needed, particularly in countries with high HIV and TB prevalence.
From the *Department of Pediatrics, Hospital Central de Maputo, Maputo, Moçambique
†Department of Pediatrics, University of California Los Angeles School of Medicine, Los Angeles, California.
Accepted for publication May 10, 2018.
The authors have no funding or conflicts of interest to disclose.
Address for correspondence: W. Chris Buck, MD, MPH, Department of Pediatrics, University of California Los Angeles School of Medicine, Los Angeles, CA. E-mail: firstname.lastname@example.org.