Positive outcome of pulmonary tuberculosis associated with extraordinary extensive extrapulmonary tuberculosis in an immunocompetent adult

: Tuberculosis (TB) is known to cause a wide variety of complications and atypical presentations. It usually presents with typical symptoms. Here, we present the unusual case of pulmonary TB with the involvement of lungs, brain, liver, spleen, vertebra, skin, left cervical lymph nodes, bone marrow, and heart. It is unique with this case of disseminated TB presenting in squall and decimating manner involving many different organs simultaneously in an immunocompetent patient who was treated successfully with antitubercular treatment. According to literature review, this is the first case report of this type especially from an endemic country like India.