This 24-years old man had fever every night starting April 2019, when a CT scan showed necrotic portal nodes. A biopsy could not be done at the time and he was not put on any treatment. He came in the 3rd week of Dec, with an increase in the size of the nodes. A trans hepatic CT guided biopsy yielded pus and the PCR (GeneXpert) on the same day was positive for TB, with rifampicin resistance.