Screening of household contacts at the mother's residence revealed a 12 year old female cousin with night-sweats, marked weight-loss and significantly productive cough for the previous six months. Her sputum was smear-positive for acid-fast bacilli. Culture revealed a fully susceptible M. tuberculosis strain on sputum culture and on fine needle aspirate biopsy of a lymph node. She was admitted to an in-patient TB hospital in Cape Town. All other household contacts tested negative for pulmonary TB. Household contacts at the father's residence in Hermanus could not be traced for testing.