A 48 year old woman presented in OPD with pain and swelling over the medial end of right clavicle since 8 months. She took treatment in the past with anti-inflammatory medications but of little benefit.

She underwent blood investigations which showed high ESR and CRP and also CT scan was done which showed erosions in the medial end of clavicle and abscess formation.

She underwent debridement and drainage of the abscess. Her culture showed Mycobacterium tuberculosis which was successfully treated with anti-Koch’s treatment.