Roy, AChaudhuri, JKumar, KMukhopadhyay, D2026-05-202026-05-202013https://hdl.handle.net/20.500.14572/6150A Roy Medical College, Kolkata J Chaudhuri Medical College, Kolkata K Kumar Institute of Hematology and Transfusion Medicine D Mukhopadhyay Medical College, KolkataAbstract: Tuberculosis still remains a major public health problem, particularly in developing countries. We report 11 year old Indian boy who presented with low grade fever, weight loss, hepatomegaly, ascites and petechial spots for past 6 weeks associated with pancytopaenia. Subsequently, bone marrow biopsy from the iliac crest revealed an epithelioid cell granuloma with hypercellularity. This is a rare presentation where disseminated tuberculosis presented as pancytopaenia.en-USdisseminated tuberculosisBone marrow granulomapancytopaeniaArticle