K.M. Monjurul Alom1, Rowshne Jahan2, Khairul Hassan Jessy2, Md. Atiqur Rahman3 ,Shamsul Arafeen Khan4

Abstract
Pulmonary tuberculosis is one of the major health problems worldwide including Bangladesh. Endobronchial
tuberculosis commonly affects young patients and presents as acute or insidious onset of cough, wheeze,
low grade fever and constitutional symptoms. Although endobronchial lesions usually result in sputum
positivity for acid fast bacilli (AFB), a false negative sputum or absence of radiological lesions may result
in delayed diagnosis. For early diagnosis a high index of clinical suspicion is required and bronchoscopy
should be performed as soon as possible in suspected patients. Bronchoscopic sampling has been the
key to the diagnosis producing more than 90% yield on smear as well as on culture. Early diagnosis and
prompt treatment, before the development of fibrosis is important to prevent complications of endobronchial
tuberculosis, such as bronchostenosis. We herein, report a case of endobronchial TB of 17 years old girl
diagnosed by gene Xpert MTB/ RIF from bronchoalveolar lavage (BAL).
Key words: Endobronchial TB (EBTB), bronchoscopy, bronchoalveolar lavage (BAL), Gene X-pert.

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