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.