Background: Tuberculosis is endemic disease in Iraq with rising its incidence, prevalence and abnormal presentation in many systems as primary and secondary presentation, so it is common nowadays.Aim: This study was undertaken to elucidate abnormal presentation of tuberculosis as anthropological presentation, like economically good patients have no co-morbidity, good nutrition, healthy active ages and HIV negative.Patients and methods: All patients are complaining of many clinical presentations of tuberculosis like pleural effusion, ascetic, etc. attend private clinics doctors they did investigations in Lagash private medical laboratory in Baghdad investigated for tuberculosis by Acid Fast stain( AFB), TB. Media culture, Interferon Gama release assay (IGRA) test and PCR study for TB. All data over three years collected and analysed for this paper.Results: All patients are of different ages with maximum years affected from adulthood till the age of sixty years. Male were 68(44.4%) patients and female were 85 (55.6%) total 153 patients (100%). All are good socioeconomic status, no any associated comorbidity, and HIV study was negative. Conclusion:Tuberculosis is according to this study is presented abnormally in healthy wealthy patients who had no risk factor for the infection. It infects productive active age, which is not suitable for general concept of TB. Infection.

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