Parotid tuberculosis in an immunodeficient patient: A rare case not to be missed

Extrapulmonary tuberculosis (TB) poses challenges due to its diverse clinical presentation and the complex diagnosis pathway. It includes parotid TB, which has always been underdiagnosed, mismanaged, delayed treatment initiation, and being among the last diagnosis to be made due to the low level of suspicion. Despite living in an endemic area of TB, it is still uncommon for a primary care doctor to propose the diagnosis at the beginning. Therefore, a late diagnosis would lead to an unforeseen circumstance, especially in an immunodeficient state patient. We report a case of a human immunodeficiency virus (HIV) with a parotid swelling mimicking a cancerous lesion at the initial stage and later showing signs of inflammation. Anti-tuberculous treatment was initiated, improvement was seen, and he had successfully completed 12 months of treatment.