Here in we report a diagnostically challenging case of adult hemophagocytic lymphohistiocytosis (HLH) triggered by disseminated tuberculosis and Klebsiella pneumoniae co-infection an immunocompetent Individual. She was young female presented with complaints fever, abdominal pain jaundice. Her evaluation showed cytopenias, hyperbilirubinemia, transaminitis, hepatosplenomegaly. progressed to have...