Disseminated Koch’s

Disseminated Tuberculosis is a potentially lethal disease if not diagnosed and treated early. Therefore a high index of clinical suspicion for early diagnosis and timely institution of anti-tuberculosis treatment is important. We report a case of an elderly female who presented with complaints of weight loss, generalised fatigue, altered sensorium and moderate hypercalcemia. Investigations excluded multiple myeloma and hyperparathyroidism. A PET scan to rule out occult malignancy showed suspicious uptake in juxtaphrenic nodes and terminal ileum.