Sarcoidosis occasionally develops in patients previously treated for tuberculosis. Less commonly, tuberculosis develops as an opportunistic infection in patients following corticosteroid treatment for sarcoidosis. Rarely do you find sarcoidosis and tuberculosis coexisting in the same patient. This report in an African, documents the co-existence of both diseases in a patient, highlighting this relationship and reviews the literature on the possible aetiologic relationship between tuberculosis and sarcoidosis.