A Complex Case of Tuberculosis, Chylothorax, and Lymphoma: An Uncommon Triad

The synchronous presence of tuberculosis (TB), chylothorax, and lymphoma in a patient is an exceptionally rare and complex clinical scenario. Overlapping clinical manifestations pose a diagnostic challenge when these diseases are simultaneously present. Immunosuppressive treatments for lymphoma can further complicate the management of such cases. This case report focuses on a 55-year-old male initially diagnosed with pulmonary TB and commenced anti-TB therapy (ATT). He later developed chylothorax which led to a comprehensive diagnostic workup, and was diagnosed with follicular lymphoma. The patient was initiated on chemotherapy along with continuation of ATT. The patient improved symptomatically and continued treatment.