Tuberculosis is a public health problem. Endobronchial localization of tuberculosis is rare. Its endoscopic aspects are diverse and often misleading and can pose a problem of differential diagnosis such as a tumor or a foreign body in children. Chest CT helps in diagnosis and bronchoscopy remains the most reliable examination with biopsy. early treatment helps to avoid complications including bronchostenosis. We report the case of a tubercular bronchial granuloma in an infant hospitalized in pediatric intensive care for suspected inhalation of a foreign body.