Tuberculosis of the posterior oropharyngeal wall is a rare disease. Usually it is revealed by a sluggish or chronic odynophagia, sometimes very painful. We report a case of a primer oropharyngeal tuberculosis. Clinical features were pharyngeal ulcerations with yellow deposits. Diagnosis was confirmed by findings epithelioid granuloma with giant cells in surgical pathology examination of biopsy samples from posterior oropharyngeal wall and from cervical adenectomy. Specific antituberculous treatment led to a favourable outcome. Oropharyngeal tuberculosis has to be evoked in a case of odynophagia and dysphonia

Keywords : Tuberculosis, Adenitis, Oro-Pharynx, Histopathology