Pneumothorax is a rare complication of pulmonary tuberculosis (TB), particularly in patients with advanced TB. We report this case because of unusual presentation. Case report: A 17-year-old single female admitted with sudden onset of breath shortness and progressive chest pain radiating to back, Left Upper Quadrant (LUQ), and Right Upper Quadrant (RUQ). She also had history of severe weight loss and productive cough since one month ago. Chest X-ray showed pneumothorax that on the right side was more severe. Patient treated with bilateral chest tube, anti-tuberculosis drugs, steroids and broad-spectrum anti-bacterial because of TB outbreaks in this area, presence of two cases of TB in family and the status of ill patient. After 33 days of
