Extragenital involvement has been reported in around 6% of the cases, occurring either as a primary infection or by spreading from a genital site by autoinoculation or systemic hematogenous dissemination.6,13 Primary extragenital sites reported include particularly the oral mucosa, and also the neck, scalp, chest, arms, and legs. Oral involvement usually presents as swelling, ulcerations, and bleeding of the gum and palate. Bone involvement may lead to loss of teeth. Long-standing infection results in fibrosis, gum and cheek adhesions, and microstomia.5,6 Hematogenous dissemination may present with fever, anorexia, and weight loss. It may lead to the involvement of bones, notably, and visceral organs like including the bowel, liver, spleen, and lungs. The most commonly affected bone is the tibia, comprising more than 50% of reported cases. There are few reported cases of GI manifesting as otitis media with mastoiditis, psoas abscess, and cervical lymphadenopathy.2,7,26