Background: India accounts for one fourth of the global TB burden.An estimated 2 million cases occurs annually. According to WHO around 3,00,000 people die annually in India from TB.Tuberculosis is one the most lethal infectious disease in the world. Inspite of effective treatment available in most cases, it is still a leading cause of death in India.Failure to diagnose and inadeqaute treatment, TB could lead to premature death and unrecognized transmission of Mycobaterium Tuberculosis. The proportion of missed TB cases is usually not reported. The objective of this study was to quantify the number of cases of TB identified by autopsy in Prisoners.

Methods:This was a retrospective study and analysis of 155 medical autopsies of patients over a period of 5 years reported in department of Pathology, Rajendra institute of medical sciences ,Ranchi, India. A total of 155 medical autopsies were reported and included in this study. We did gross pathological and histopathological analysis.

Results:This study shows that out of 18 cases of tuberculosis , 13 were prisoners. , showing tuberculosis is more common in prisoners than civilians.

Conclusion:TB remains a major cause of death.Tuberculosis often remains undiagnosed and hence there is a need to increase awareness and actively seen for tuberculosis.