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Previous Volume 350:2527-2528 June 10, 2004 Number 24 Next

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To the Editor: As illustrated in Case 40-2003 (Dec. 25 issue),¹ it is often difficult to find the source of infection in a child who has tuberculosis. In 2001, we cared for a five-month-old girl who presented with miliary tuberculosis and multiple intracranial tuberculomas. An initial investigation indicated that she had had no contact with persons with active tuberculosis.

In 2003, a 20-year-old man presented with skin lesions (Figure 1). The first of these lesions had appeared on his ankle more than two years earlier, and subsequently more lesions appeared on his chest, back, and one elbow. A . . . [Full Text of this Article]

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