A 30-year-old woman was admitted to our emergency department with fever, cough, abdominal pain, bloating, inability to defecate, and melena. The patient had a history of Crohn's disease with suspected colitis. Abdominal distention was found in her physical examination. Laboratory results showed Hemoglobin level of 8.7 g/dL, Leucocyte count 9.75 x 109/L, Neutrophils 85.9%, Lymphocytes 7.9%, Neutrophils-Lymphocytes Ratio (NLR) 10.87, C-Reactive Protein (CRP) 171.67 mg/dL, and negative result of ANA test. Both Anti-SARS-CoV-2 IgG and IgM rapid tests showed non-reactive results. Chest X-Ray showed atypical bronchopneumonia (Fig. 2a) and chest CT scan showed bilateral pleural reaction with signs of pneumonia. Abdominal X-Ray showed ileus with small bowel obstruction suspected (Fig. 2b) and abdominal MSCT showed small intestine dilatation with sigmoid colon mass suspected. The patient was diagnosed small bowel ileus with bronchopneumonia. The patient underwent exploratory laparotomy with level 3 personal protective equipment. Intraoperative findings were multiple intestinal strictures with intestinal stenosis and ileal resection followed by end-to-end anastomosis using linear cutter was done (Fig. 2c). The COVID-19 PCR test with nasopharyngeal swab sample showed negative results and the pathologic finding showed intestinal tuberculosis. The patient was treated with streptomycin for 5 days after surgery and 6 months of anti-tuberculosis therapy were prescribed by the pulmonologist.