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Chylothorax or chylous ascites is rare manifestation of tuberculosis. We report a case of simultaneous chylothorax and chylousascites due to tuberculosis. A 17-year-old girl was admitted with fever, abdominal distention and dyspnea. Chest and abdominalcomputed tomography revealed bilateral pleural effusion, multifocal nodular consolidation on both lung fields and copious ascitesand multiple necrotic lymphadenopathy in the abdominal cavity. Mycobacterium tuberculosis was isolated from sputum and pleuralfluid. The patient was treated with anti-tuberculosis medication. Pleural effusion and ascites improved with the medication.