Table 2.

Detailed description of children with sudden unexpected death and with tuberculosis at post-mortem evaluation at Tygerberg Forensic Pathology Services, South Africa, 2016 (n = 4)^a.

Age (months)	Sex	Symptoms before death	Length (cm)	Mass (kg)	Z score WHO weight for length	Physique	Nutrition	Road to health booklet and vaccinations	Cause of death	Data from routine services
3	Female		60.0	4.2	−3.9	Well built	Well-nourished	Book available BCG recorded; Vaccinations incomplete HIV status unknown	Pulmonary TB and left-sided pleural empyema	At birth – no further contact with public health services
9	Female	Cough and runny nose	69.0	4.52	−7.0	Poor and emaciated	Undernourished	Book available BCG recorded; Vaccinations incomplete HIV status unknown	Pneumonia against the background of malnutrition and pulmonary TB	PMTCT provided at birth, 2 visits to PHC after birth. No visits after age 2.5 months
14	Female		71.0	6.4	−3.1	Emaciated	Dehydrated	RTHB not available	Consistent with TB meningitis	No routine records
36	Male	Stomach problems	100.0	23	>2	Good	Good	RTHB not available	Consistent with TB mesenteric adenitis,	No routine records

BCG: bacille Calmette-Guérin; HIVe: HIV exposure; PHC: primary health care; PMTCT: prevention of mother to child transmission; RTHB: the road to health booklet; TB: tuberculosis; WHO: World Health Organization.

^aOne child who did not have TB detected at post-mortem evaluation was found to have TB diagnosed before death according to matching with the PHDC and was not treated. This child is not included in the above.