Abstract: A case of secondary tonsilar tuberculosis was reported. A man, aged 82, complained of pharyngeal pain and dysphagia on the right side. The right tonsil was ulcerated and coated with white fur. After the appearance of tubercular bacilli and typical tubercular lesions, the patient was treated by antitubercular agents, streptomycin, INH and RFP. Although the local findings and complaints disappeared within a month after treatment, the primary lesions (in both the pulmonary fields) continued for 6 months.