Primary tuberculosis is rare. Skeletal lesions tend to be isolated to one anatomical site and multifocal tuberculosis with more than one osteo-articular lesion is very rare. We present here a new case of multifocal tuberculosis affected scapula, ribs, lung and vertebrae in 5 year-old boy. Tuberculosis was confirmed on histological examination and culture. The boy was successfully managed by anti-tubercular drugs.