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Infections caused by pathogens of the Mycobacterium tuberculosis complex, i. e., tuberculosis (T, and the non-infectious, autoimmune disease sarcoidosis are among the most common granulomatous diseases worldwide. Typically, the lung is the primary site of infection and manifestation, respectively which makes the two diseases important differential diagnoses. Both diseases can affect virtually all organ systems, albeit with significantly lower incidence. CASE PRESENTATION We report the case of a 50-year-old Indian man presenting with