Tropical Eosinophilia was first described in 1940 and labelled as “pseudotuberculosis with eosinophilia” [2], the term tropical pulmonary eosinophilia (TPE) was first coined by Weingarten in 1943 [3] to a syndrome of wheezing, fever, eosinophilia and bilateral mottling of the lungs. This was followed by a series of reports describing similar conditions from the tropical regions such as the Indian subcontinent [4-6]. Here we present a case of a 12 year old boy who presented with complaints of ear ache and swelling on side of neck bilaterally and on examination multiple neck nodes were palpable. On peripheral smear examination and followed by bone marrow study, Tropical eosinophilia was diagnosed.