A case report of secondary tuberculosis of tonsil is being discussed along with review of published literature. This report attempts to draw attention to the fact that Tuberculosis is resurgent despite excellent chemotherapeutic drugs available. This could be probably due to wide spread drug resistance, Immune deficiency states like Diabetes and HIV. Diagnosis of this condition needs a high index of suspicion. Biopsy should be performed in all these patients to rule out coexistant malignancy. Even though oral cavity is highly resistant to tuberculous infection due to the inherent bactericidal effect of saliva still cases of tuberculosis tonsil continue to be reported in developing countries like India.