Abstract

We present a case of a 21-year-old woman, with prolonged cough and wheezing following a mild COVID-19 infection. Despite multiple attempts to recognize the cause and manage her cough, her symptoms did not improve. A careful examination revealed monophonic wheezing and purulent sputum, raising suspicion for Endobronchial Tuberculosis (EBTB). Chest computed tomography scan showed a tree-in-bud pattern and narrowed the bronchial lumen. Acid-fast bacillus smear and genXpert MTB/RIF test further confirmed the presence of Mycobacterium tuberculosis. This case highlights the importance of considering EBTB as a potential diagnosis for chronic cough, particularly in COVID-19 survivors in tuberculosis-endemic areas.

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