Regarding breastfeeding and TB, breast milk is intact of contamination so transmission of disease does not occur [ 11 , 13 ]. A recent study by Peng et al. Classically, infected newborns are born prematurely with low birth weight for gestational age. In the absence of an associated history of maternal TB, it is difficult to diagnose clinically the disease whereas it is easy to commence timely treatment. On the other hand, there have been cases of late onset up to 3 months of life or over, as the case study by Vogel et al. In several studies, LTBI faced the challenge of having no gold standard for diagnosis [ 17 ]. The diagnosis of perinatal TB requires a high index of suspicion and thorough evaluation of both mother and infant is mandatory to establish the diagnosis.
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