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

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.