Utility of EBUS-TBNA in diagnosing mediastinal tuberculous lymphadenitis in East London

•EBUS-TBNA is a useful tool in the diagnosis of intrathoracic tuberculous lymphadenopathy and other pathologies.•In higher tuberculosis incidence areas, EBUS-TBNA samples from all cases of undiagnosed lymphadenopathy should undergo mycobacterial culture.•Clinical suspicion of tuberculosis does not always correlate with a confirmed diagnosis of tuberculosis.•Obtaining culture confirmation remains important in an era of significant drug-resistance.