Primary upper gastro-intestinal tuberculosis is a very rare disease. We report the case of a 25-year-old man who presented with a febrile illness and non-specific gastro-intestinal symptoms. The upper gastro-intestinal X-rays showed a normal esophagus and non-specific changes of the stomach and duodenum. Endoscopy revealed diffuse esophagogastro-duodenitis of tuberculous origin. The patient recovered completely after treatment.

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