Abstract
Tuberculosis continues to be a big challenge to public health. Isolated cases of tuberculous mediastinal lymphadenopathy in an immunocompetent child without pulmonary involvement are relatively rare. Compared to adults, children are susceptible to such infections; however, due to a lack of specific clinical features and the involvement of invasive techniques in establishing the diagnosis, there are chances of a diagnostic delay. A case of a nine-year-old girl who reported having chest pain for one month is presented. In the absence of the constitutional signs and symptoms of tuberculosis, a diagnosis was confirmed with computed tomography, histopathology, and cartridge-based nucleic acid amplification of samples obtained from endobronchial ultrasound-guided transbronchial needle aspiration. She was put on anti-tuberculous treatment for her weight.