Incidence of tuberculous mastitis ranges from 0.1 % to 4 %, commonly seen in young lactating multiparous women and is uncommon in prepubescent and elderly women.Primary tuberculous mastitis is rare.A 14-year-old nulliparous female presented with gradually progressive swelling in the right inner lower quadrant of breast with passage of pus,right axilla swelling and shortness of breath. There was associated history of low-grade intermittent fever and anorexia with significant weight loss. She was subsequently diagnosed as a case of tuberculous breast abscess. She was treated with antituberculous drugs which resulted in resolution of symptoms clinically and radiographically. Tuberculosis of breast, although rare should be kept in mind to avoid misdiagnosis and for early treatment.