Tuberculosis (TB) is a widespread epidemic. The World HealthOrganization estimated 10.4 million cases of tuberculosis in 2016,with 490,000 new cases of multi-drug resistant (MDR) TB.1 Theprimary presentation of TB is pulmonary. However, in the UnitedStates in 2014, 21% of TB cases were extrapulmonary with the mostcommon sites in descending order of incidence being TB lymphadenitis(38.2%), pleural (16.3%), bone and/or joint (10.4%), peritoneal(5.7%), genitourinary (5%), meningeal (4.5%), and laryngeal (0.2%).2