DOI: https://doi.org/10.36347/sasjm.2025.v11i09.002

Pages: 839-840

Background: Cold abscesses are a rare extrapulmonary manifestation of tuberculosis, often presenting without classic signs of infection. Case Presentation: We present the case of a 31-year-old immunocompetent African female domestic worker who developed a swelling on the dorsal aspect of the right forearm, with diagnosis delayed due to its initial resemblance to a musculoskeletal condition. Conclusion: This case highlights the diagnostic challenges and the importance of considering tuberculosis in the differential diagnosis in atypical soft tissue swellings, especially in individuals from endemic regions.