Society of Diabetic Nephropathy Prevention Journal of Nephropathology 2251-8363 12 3 2023 06 22 Disseminated tuberculosis presenting as a crescentic glomerulonephritis e21434 e21434 10.34172/jnp.2023.21434 EN Gerry George Mathew https://orcid.org/0000-0003-1967-4470 Dinesh Babu Journal Article 10.34172/jnp.2023.21434 2023 01 14 2023 03 08 A 48-year-old male patient presented with dialysis dependent renal failure with biopsy showing crescentic glomerulonephritis and Positron emission tomography–computed tomography (PET-CT scan) revealing features of pericardial, pulmonary tuberculosis with positive urinary GeneXpert test for tuberculosis bacilli. Clinicians should keep in mind the atypical presentations of tuberculosis while managing rapidly progressive renal failure especially in tropical countries with high prevalence of tuberculosis.