 This study examined the demographics, clinical characteristics, and outcomes of pediatric pulmonary tuberculosis in Buena Ventura, Colombia. The results showed that the majority of cases were diagnosed clinically and that the majority of patients were younger than seven years old. Additionally, the incidence of childhood pulmonary tuberculosis varied significantly from year to year, ranging from two to four times higher than the national average. Furthermore, there was a lack of consistency between the data provided by the local tuberculosis program and the national surveillance system of Colombia.