# Chronic Eosinophilic Pneumonia With Overlapping Emphysema and Fibrosis: An Atypical Presentation of Recurrent Pulmonary Tuberculosis

## TL;DR

A patient with chronic respiratory symptoms and high eosinophils was misdiagnosed with pneumonia but later found to have recurring tuberculosis.

## Contribution

Highlights the diagnostic challenges of tuberculosis mimicking interstitial lung diseases in endemic regions.

## Key findings

- The patient's condition was initially misdiagnosed as chronic eosinophilic pneumonia.
- Tuberculosis was confirmed only after prolonged microbiological culture.
- The case illustrates the need for a broad differential in diagnosing interstitial lung diseases.

## Abstract

This case report describes an atypical presentation of recurrent pulmonary tuberculosis in a patient with chronic respiratory symptoms and eosinophilia, initially misdiagnosed as chronic eosinophilic pneumonia. Despite suggestive clinical and radiological features, a final diagnosis was only reached after prolonged microbiological culture. The case underscores the diagnostic complexity of interstitial lung diseases and emphasizes the importance of maintaining a broad differential, particularly in tuberculosis-endemic regions.