Science and Education Publishing American Journal of Medical Case Reports 2 12 2014 12 22 Hepatic Tuberculosis: Uncommon Presentation of A Common Disease-A Case Report with Literature Review 303 305 EN Synrang Batngen Warjri Tony Ete Department of Medicine, North Eastern Indira Gandhi Regional Institue of Health and Medical Sciences, Shillong, India Taso Beyong Bhupen Barman Kyrshanlang G Lynrah Hage Nobin Neel Kanth Issar AJMCR201421211 10.12691/ajmcr-2-12-11 2014 11 02 2014 12 15 2014 12 22 Hepatic tuberculosis is a rare form of tuberculosis with non specific signs and symptoms which requires a high index of suspicion to reach a diagnosis. Usually has three forms of presentation in the form of miliary tuberculosis with liver involvement, granulomatous hepatitis and local hepatic tuberculosis. Usually requires guided tissue sample with histopathological examination for diagnosis. Here we are reporting a case of hepatic tuberculosis with multiple hepatic nodules who presented with fever and non specific symptoms and treated with anti-tubercular drugs followed by resolve of signs and symptoms.