Conclusion
In summary, the case highlights the diagnostic challenge in patients with pulmonary symptoms. Despite initial suspicion of pulmonary thromboembolism and empirical antibiotic therapy for pneumonia, bronchoscopy revealed findings consistent with acute necrotizing granulomatous bronchitis, indicative of endobronchial and pulmonary tuberculosis. Management involves initiating multidrug antitubercular therapy, close monitoring, infection control measures, and patient education. This underscores the importance of considering tuberculosis in high-risk patients and emphasizes the need for prompt diagnosis and appropriate management to optimize outcomes and minimize disease burden.