Tuberculosis (TB) and pneumonia are among the top-10 global causes of death worldwide. Many studies highlight the diagnosis delay of TB in patients with an initial presentation of pneumonia. We present a case of a 16-year-old boy who complains of a productive cough associated with blood-streaked sputum for one-month duration. Having pulmonary tuberculosis (PTB) contact three years ago puts him at risk of a similar infection. Despite the episodes of missed appointments in serial follow-ups, we were ultimately able to exclude PTB in this patient.
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