Tuberculosis(TB) of tonsils is an extremely rare variety of extra pulmonary TB (EPTB) frequently simulating tonsillar malignancy especially in the elderly. Chronic or recurrent tonsillitis with enlarged tonsils and sore throat is usually the main clinical presentation especially in children ( Das A et al 2015),(Chang J et al 2019),(Moisa SM et al 2021). Histological diagnosis is mandatory for diagnosis . Anti-tuberculous chemotherapy is adequate for its complete resolution. Here we report a rare case of primary tonsillar TB with solitary posterior auricular lymphadenopathy with histopathologic diagnosis made after tonsillectomy and excision biopsy. Patient was immunocompetent and thorough evaluation excluded pulmonary and systemic TB .