Introduction: Here we report a case who presented with fever, dry cough, sore throat and myalgia, mimicking COVID-19 and diagnosed as Pulmonary Tuberculosis. Case Report: A 31-year-old female patient was presented to the COVID-19 outpatient clinic with 7-day history of fever,dry cough,night sweats,chills,sore throat,and myalgia. Laboratory results revealed lymphopenia, C-reactive protein, erythrocyte sedimentation rate and D-dimer elevation compitable with COVID-19. She was hospitalized with diagnosis of "probable COVID-19". SARS-CoV-2 multiplex PCR were resulted negative. Chest CT revealed cavitary lesion located in the upper lobe of the right lung with uncertain borders, consolidation in the right upper lobe primarily in favor of TB infection. She had three samples of sputum acid-fast bacillus smear that came back positive. TB PCR also resulted positive. Conclusion: Although the most common presentation of COVID-19 seems to be pneumonia, there is no unique clinical feature that reliably differentiates COVID-19 from other upper / lower airway viral or bacterial infections.