{Reference Type}: Case Reports {Title}: Pneumonia in the Pandemic: Not Always COVID-19. {Author}: Bunawan NC;Harlivasari AD;Aldiani A; {Journal}: Cureus {Volume}: 15 {Issue}: 10 {Year}: 2023 Oct 暂无{DOI}: 10.7759/cureus.47802 {Abstract}: The coronavirus disease 2019 (COVID-19) pandemic has changed the way we manage patients, especially those with respiratory illnesses. Clinical manifestations, chest imaging, and reverse-transcription polymerase chain reaction (RT-PCR) play major roles in diagnosing respiratory infections during a pandemic. However, several infections can mimic COVID-19 regarding its clinical signs, symptoms, and imaging appearance. Diagnosing pneumonia other than COVID-19 is a big challenge in developing countries, given the limited resources available. We presented a case of a 25-year-old female with clinical symptoms and radiological characteristics typical of COVID-19 but a repeated negative RT-PCR test. Further workups found lung tuberculosis as her primary diagnosis. Our patient continued treatment with an antituberculosis agent and a short course of steroids, with a remission of symptoms.