The same case Ilmer et al. have presented. A 35-year-old human immunodeficiency virus seropositive woman complained of lower abdominal pain and fever for two days. She underwent surgery due to left adnexal mass suggesting pelvic inflammatory disease. The peritonitis provoked by a tubo-ovarian abscess on the left side was found. Histopathological evaluation identified TB salpingitis and Mtb was found by polymerase chain reaction (PCR).