Abstract: Scrofuloderma is a common type of cutaneous tuberculosis characterized by a bluish-red nodule overlying an infected lymph gland, bone or joint that breaks down to form an undermined ulcer with a granulating tissue at the base. Progression of the disease leads to irregular adherent masses, densely fibrous at some places while fluctuant and discharging at others. It heals with a characteristic puckered scarring at the site of infection. The disease is caused by Mycobacterium tuberculosis. Very few pediatric patients with scrofuloderma have been reported. Here we describe a case of scrofuloderma with spine and pulmonary involvement in a 11 year old child which has been rarely described in literature.