Abstract
A 39 year-old female was diagnosed as having pulmonary alveolar proteinosis (PAP) associated with pulmonary tuberculosis. It was not until bronchopylmonary lavage (BPL) was performed that tuberculosis was diagnosed. After BPL, the shadow due to PAP improved but tuberculosis was aggravated.
The clinical course of our case and a review of literature suggest that tuberculosis associated with PAP should be treated with BPL and anti-tuberculous drugs.