Extrapulmonary Tuberculosis (EPTB) is the TB involving organs other than lungs. The diagnosis of EPTB can be difficult, as suspicion is challenging, because it presents with nonspecific clinical features and atypical presentation. Furthermore, patients with HIV may present with fever of unknown origin (FUO) as the only symptom. We present a clinical case of a 49 years old Puertorrican female with HIV-AIDS and no high-risk behavior with an abdominal pain and fever. The investigation confirmed an Abdominal Tuberculosis. This case emphasizes the need to add Abdominal tuberculosis (ATB) within the differential diagnosis and discuss the diagnostic process.
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