Tuberculosis as a primary cause of respiratory failure is an uncommon occurrence1 with an incidence of in patients hospitalized with pulmonary TB2. Patients with miliary or disseminated disease are especially prone to develop respiratory failure. Tuberculous Pneumonia has rarely been identified as a cause of ARF3-4. Acute tuberculous pneumonia presents as parenchymal consolidation with or without endobronchial spread mimicking bacterial pneumonia. It probably represents an exudative hypersensitivity reaction to tuberculoprotein, rather than actual inflammation caused by the Mycobacterium tuberculosis organism per se. These infiltrates can appear within a matter of days and can clinically simulate acute bacterial pneumonia. Anti-tubercular treatment has been considered to be an important factor affecting patient’s outcome. In this report, we describe.
