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Case report A 2 month old baby girl, born to a primigravida mother, presented with fever of one month duration. There was third degree parental consanguinity. She was born at term by caesarean section with a birth weight of 3.5 kg. There were no antenatal or neonatal issues. Social smile was attained. BCG had been administered at birth and routine vaccination at six weeks was taken. On examination, she was afebrile, liver was palpable 4 cm below costal margin and the spleen palpable 2 cm below costal margin. There was no lymphadenopathy and other systems were normal.

Miliary tuberculosis with haemophagocytic syndrome and pneumothorax