Musculoskeletal tuberculosis (TB) occurs in 13% of patients with TB, while TB of the chest wall constitutes 1% to 5% of all cases of musculoskeletal TB. We hereby present a case of tuberculous abscess over the chest wall as the initial presentation without any lesion in the lungs managed with Antitubercular treatment (ATT) and drainage of abscess. It is rare to find extra pulmonary TB involving immunocompetent patients than immunocompromized. The diagnosis of musculoskeletal tuberculosis infection remains a challenge for clinicians and requires a high index of suspicion.
Key words: Chest wall abscess, Musculoskeletal tuberculosis, TB in immunocompetent