15-year-old phenotypic male who presented with weakness that was initially attributed to centipede bite. Physical examination and hormone profile suggested 11-beta hydroxylase deficiency. Weakness improved with potassium supplementation. Hypertension was managed by using spironolactone, prednisolone and amlodipine, with advice of lifelong prednisolone. Hysterectomy was done and it was advised to rear the individual as male.