The emerging global resistance to anti-tubercular drugs, and the underdiagnosis of extrapulmonary tuberculosis lesions, warrants an increased awareness of the involvement of Mycobacterium tuberculosis at rare sites of occurrence, such as the oral cavity. The involvement of the tongue, the most common site of oral tuberculosis, can either be primary or secondary. We report a rare presentation of oral tuberculosis in a 45-year-old male who presented with ulcerative lesions on the tongue and epiglottis. Histopathological examination showed chronic granulomatous inflammation with positive Ziehl Neelsen stain. The patient responded well to anti-tubercular treatment. Tuberculosis should be kept as a differential diagnosis of oral cavity lesions so that prompt diagnosis can be offered, leading to better patient management. Efficient treatment in such cases is beneficial for the community, as the patient is a potential source of transmission of tuberculosis.