Sternal osteomyelitis incidence is approximately 0.3% of all types of TB (4). Almost 60% of skeletal TB cases involve the spine or weight-bearing joints. Hence the diagnosis sternal osteomyelitis is often not considered. On eliciting the history, patient complained of intermittent low grade fever, night sweats loss of appetite and loss of weight since the past three months. On examination Axillary Lymph nodes were inflamed. Pus culture showed multiple gram positive cocci and but no organism was isolated. ZN staining was negative for Acid Fast Bacilli however in CB- NAAT Mycobacterium TB was detected.