Tuberculous parotid lymphadenitis in HIV positive patient

Tuberculosis is a chronic, granulomatous disease. Primary lesion usually occurs in the lung. Extra pulmonary infection commonly involves head, neck and the abdomen. In an attempt to highlight an uncommon presentation, we document a case of extra pulmonary tuberculosis in the parotid gland (tuberculous parotitis), without evidence of pulmonary tuberculosis. A 15 year old HIV positive female patient was reported with chief complaint of repeated history of loose stools, vomiting, and swelling in the left parotid region and difficulty in opening of the mouth. She was diagnosed to be having tuberculosis of parotid gland after Ultrasonography (USG), fine needle aspiration cytology (FNAC), histopathological examination and was treated medically.