A rare presentation of after two decades: a case report from Brunei Darussalam.

is endemic to West Africa and is rare outside this region. Most of the people infected with 
 outside Africa are migrants from affected parts of Africa. We report a rare case of pulmonary tuberculosis (TB) secondary to in a man in Brunei Darussalam who had lived and worked in Guinea, West Africa for 6 years more than 20 years ago. He had been well until December 2020, when he presented with a chronic cough and was diagnosed with coinfections of and , and newly diagnosed diabetes mellitus. This case highlights an interesting manifestation of pulmonary TB secondary to in a patient whose last exposure was 20 years ago, contributed to by development of diabetes mellitus.