Mycobacterium tuberculosis (MTB) is commonly found in the pulmonary system (51.6%) due to inhalational transmission, but other organ systems including gastrointestinal (4.9%), spinal (4.2%), meningeal (2.1%) and genitourinary (1.6%) systems are also involved albeit less frequently1. Tuberculosis (TB) affects 1/3rd of world’s population. Incidence of cutaneous T.B is approximately 1.5% of extra pulmonary TB2. Scrofuloderma (SFD) is a form of cutaneous T.B resulting from direct invasion of bacilli into skin from lymph node, bone or joint. Metastatic tuberculous abscesses (also known as tuberculous gumma) are a rare and unusual form of cutaneous TB that is commonly located on the extremities and commonly found in the immunocompromised. Skeletal tuberculosis accounts for only 1–5% of all tuberculosis infections and approximately 50% of these affect the spine3. We present a case of 15yr old girl with 2 rare presentations of the disease i.e., a metastatic skin abscess and SFD with underlying pott’s spine.