Science and Education Publishing American Journal of Medical Case Reports 2374-216X 3 5 2015 04 23 Tuberculosis - An Atypical Presentation 146 147 EN A Elmorsy Department of Trauma and Orthopaedics, Royal Surrey County, Guildford, UK A. Clark-Morgan G. Shergill AJMCR2015358 10.12691/ajmcr-3-5-8 2015 03 22 2015 04 12 2015 04 23 Although endemic to the United Kingdom in the 19th and 20th centuries, cases of Tuberculosis have increased in the last twenty years making it an important differential diagnosis to consider. The recurrence of this almost extinct disease is thought to be a result of increasing prevalence of immune system deficiency, particularly Acquired Immunodeficiency Syndrome (AIDS). Musculoskeletal tuberculosis, particularly of a joint, remains a rare condition - accounting for less than 5% of cases of tuberculosis. Symptoms are mild and/or non-specific, making delayed or missed diagnosis a common problem. Here we present the unusual case of tuberculosis of the elbow to maintain consideration of tuberculosis as a differential diagnosis, even in cases with no strong suggestive medical history.