Tuberculosis in heart is extremely rare and not many cases are reported. It infects heart by haematogenous spread from other organs. Diagnosis is generally made on autopsy as there are no direct investigations to diagnose ante partum. A case of 20 year old female with history of assault, post mortem viscera were sent for histopathological examination. On histopathology numerous organs showed caseous necrosis. Heart sections showed granulomatous lesions and diagnosis of tuberculosis was rendered. We present this case due to its rarity and to differentiate it from other granulomatous pathology of heart.