A 45-year-old multipara presented with vaginal discharge, dysfunctional uterine bleeding (DUB) and mass per vagina. Per-speculum examination showed first degree uterine prolapse, grade II cystocele, rectocele and a cervical ulcer. Per-vaginal examination showed no significant abnormality. Patient did not reveal any present or past history of TB. Family history was not contributory. Routine cervical Papanicolaou (Pap) smear showed superficial/intermediate squamous cells with parabasal cells in a background of neutrophils. Focal areas showed macrophages, clusters of epithelioid cells and a few Langhan's type of giant cells [Figure 1]. A cytological diagnosis of granulomatous cervicitis was made. Ziehl-Neelsen (ZN) stain of the cervical smears showed acid fast bacilli (AFB), which was later confirmed by fluorescent technique and culture. Chest radiograph was not significant. The HIV status was negative. Patient did not have any kind of immunodeficiency. Patient was put on anti-TB drugs following which the symptoms resolved.