ABSTRACTThe presence of both MDR‐TB and COVID‐19 complicates diagnosis and treatment, as their symptoms can overlap, resulting in possible delays in receiving the appropriate care. This study aimed to investigate whether COVID‐19 plays a role in the initiation or progression of latent or current tuberculosis (TB) infection, especially MDR‐TB, through immunosuppression or lung injury. On May 19, 2022, a retired black African 40‐year‐old woman was admitted to the emergency room. She had a history of persistent cough, fever, muscle weakness, and weight loss. Reverse transcription polymerase chain reaction (RT‐PCR) confirmed the presence of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), indicating a positive COVID‐19 diagnosis. GeneXpert MTB/RIF identified Mycobacterium tuberculosis (Mtb) and detected rifampicin resistance, confirming MDR‐TB. An oral daily antituberculosis regimen consisting of 4 months of kanamycin 1220 mg, moxifloxacin 800 mg, prothionamide 750 mg, clofazimine 100 mg, pyrazinamide 1200 mg, high‐dose isoniazid (HH) 600 mg, ethambutol 1200 mg, and for 5 months moxifloxacin 800 mg, clofazimine 100 mg, pyrazinamide 1200 mg, and ethambutol 1200 mg. She received ≈ 5000 IU of low‐molecular‐weight heparin (80 IU/kg for her 61 kg body weight) every 12 h to prevent prothrombotic episodes.