Unusual presentation of covid-19 with latent pulmonary koch’s

Introduction: The clinical features and treatment of pulmonary tuberculosis patients with COVID-19 is Unclear and understudied. Here, there is pulmonary tuberculosis patient with COVID-19infection who were prospectively followed from hospital admission to discharge. We provide information and experience with treatment of pulmonary tuberculosis case with confirmed COVID-19 infection This case has given an insight that COVID 19 infection may aggravate a latent or an occult tubercular infection, but more studies and cases need to be investigated to confirm this uncommon co-infection. Objective: Case Presentation: 27 year young male who tested positive for covid 19 infection and was admitted in our institute with chief complaints of Fever for past 3 days associated with Breathlessness for past one day. Right sided chest pain for past one day. Patient was found to be COVID 19 positive on day 3 of symptoms. On examination Temp – 100 , SpO2 – 85% on RA, HR- 108bpm, rest vitals stable, on 4th day due to hemotysis AFB for ZN stain came out to be positive for two consecutive tests. CT is normal. Patient responded well to ATT & other treatment eventually improved symptomatically ovet the course of stay in the hospital & got discharged & followed through tele communication. Conclusion: This case has given an insight that COVID 19 infection may aggravate a latent or an occult tubercular infection, but more studies and cases need to be investigated to confirm this uncommon co-infection.