Pediatric tuberculosis – A diagnostic Dilemma

•6–7 % of all tuberculosis cases reported in India under National TB Elimination Programme belongs to pediatric age group.•Majority of pediatric TB cases are not confirmed microbiologically and are at Extra pulmonary sites.•Molecular tests (GeneXpert, Truenat) give a confirmed diagnosis provided a good sample is collected.•New molecular tests not only detects M. tuberculosis but also gives rifampicin resistance status, which means we can diagnose, MDR TB upfront.•Introduction of molecular diagnostics in treatment guidelines have made management of MDR TB in this age group easy.