Table 2

- Case timeline.

Dates	Relevant past medical history and interventions
09 February 2020	24-year-old male smoker (20 Pk/year).
09 February 2020	Summaries from initial and follow-up visits	Diagnostic testing	Interventions
16 February 2020	Complains of chest pain on right side. Pleural fluid analysis showed lymphocytic pleural effusion.	CT of the chest was carried out which showed large loculated left-sided pleural effusion with thick enhancing pleura. Thoracoscopy was carried out and pleural biopsy was taken which showed necrotizing granuloma. PCR TB tested on 21 February 2020 displayed negative results.	Anti-TB was started on 24 February 2020 in the form of rifampicin, isoniazid, pyrazinamide, and ethambutol.
16 March 2020	Anti-TB medication was started on 24 February 2020.	TB culture carried out on 16 March 2020 tested positive
22 December 2020	Patient had no physical follow-up since March due to COVID 19 pandemic. No complains of chest pain, no cough, fever sputum. Weight gain of 5 kg. looks healthy.	Chest X-ray shows resolution of left-sided pleural effusionx residual pleural thickening and mild volume loss, no new infiltrates bilaterally.	Stopped treatment himself in August 2020 (completed 6 months of Anti TB medication).