Rare presentation of extra-pulmonary tuberculosis of the cheek

Extra- pulmonary tuberculosis (EPTB) has become a rising health problem aided by a pandemic of Human Immunodeficiency Virus infection (HIV). It occurs in about 15%-20% of HIV negative immunocompetent individuals and a greater propensity to occur in those with HIV infection. It predominantly affects the lymphatics and other organ systems like – central nervous system, skeletal, pleural etc. Tuberculosis of the cheek is uncommon, and is usually associated with a concomitant oral lesion. Extra-oral Tuberculosis in the absence of an oral lesion, is a unique occurrence. Hence, it can pose a diagnostic challenge especially in a young immunocompetent individual. We therefore report a rare presentation and management of Extra-pulmonary Tuberculosis of the Cheek in an immunocompetent 26 year old male.