Bronchoscopy can be helpful for microbiological diagnosis in children with primary tuberculosis and its yield is clearly enhanced by PCR detection. However,endoscopic sampling has a lower sensitivity rate than repeated gastric washings and probably sputum induction. Bronchoscopy is indicated in case of clinically and/or radiologically suspected endobronchial involvement, helps for restoration of normal airway diameter and bronchial wall injury follow-up. A few series on endoscopic findings according to the mode of presentation have been published in pediatric patients. In these studies endobronchial tuberculosis occurrence is described irrespective of clinical or radiological symptoms.