Our study examined trends in extrapulmonary tuberculosis in the UK and investigated the factors associated with recent changes highlighting this to clinicians.1 Jolobe summarises reports from the USA and anecdotal media coverage of patients in whom the diagnosis of pulmonary tuberculosis was delayed due to the perception of low risk in native-born patients who subsequently presented with advanced pulmonary disease. We have previously reported delayed diagnosis in these groups in the UK.2 As pulmonary tuberculosis is the infectious form of …