Genital tuberculosis with variable presentation: a series of three cases

BMJ Case Rep. 2012 Aug 27:2012:bcr2012006665. doi: 10.1136/bcr-2012-006665.

Abstract

Tuberculosis (TB) is still frequently observed in third-world countries like Africa and Asia. Here we report three cases of genital TB with variable presentation. First case was a lady of reproductive age group who presented with polymenorrhagia and postcoital bleeding with unhealthy cervix. Histopathology of cervical tissue revealed tubercular cervicitis. Second and third cases presented with different complaints like discharge per vaginum, postcoital bleeding and pain in lower abdomen with growth over the cervix. Cervical biopsy was inconclusive of TB but endometrial tissue sampling for TB PCR was positive. This shows that newer diagnostic marker test can help us to detect secondary genital TB.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antitubercular Agents / therapeutic use
  • Biopsy
  • Cervix Uteri / pathology
  • Endometrium / pathology
  • Female
  • Follow-Up Studies
  • Humans
  • Infertility, Female / diagnosis
  • Infertility, Female / pathology
  • Pregnancy
  • Tuberculosis, Female Genital / diagnosis*
  • Tuberculosis, Female Genital / drug therapy
  • Tuberculosis, Female Genital / pathology
  • Ultrasonography
  • Uterine Cervical Diseases / diagnosis*
  • Uterine Cervical Diseases / drug therapy
  • Uterine Cervical Diseases / pathology
  • Uterine Diseases / diagnosis*
  • Uterine Diseases / drug therapy
  • Uterine Diseases / pathology

Substances

  • Antitubercular Agents