Although congenital tuberculosis (TB) is rare, it is associated with a high mortality rate. The infection is mainly acquired transplacentally and less  frequently from infective lesions on the maternal genital tract. Many cases are missed in clinical practice due to the non-specific presentation of the  disease hence the tendency to either miss the diagnosis or make the diagnosis late. We report an infant of a 32-year-old mother who was treated  for multi-drug resistant TB before the index pregnancy and probably had a relapse during pregnancy. The infant presented with features of sepsis at the age of ten days, but tuberculosis was only suspected when there was no clinical response to routine antibiotic therapy, and the medical  history of the mother was reviewed. This report is to create awareness about the non-specific manifestations of the disease and highlight some  helpful diagnostic methods in a resourcepoor setting.