A case of Tuberculosis presenting as Cardiac Tamponade

India account for nearly 30% of global Tb burden (1).Tb account up to 4% acute pericarditis and 7% cases of cardiac tamponade (2). Here we report a case of 15 year old male who presented with fever, productive cough, dyspnoea since 15 days and eventually diagonosed as pulmonary Tb with cardiac tamponade after radiological and pericardial fluid analysis. He underwent emergency pericardiocentesis and responded well to anti tuberculosis treatment.