We report a case of post operative repeated wound infection due to Mycobacterium Tuberculosis. A 25 yr old woman presented to us with watery discharge from Caesarean section wound, done elsewhere 3 months ago. Discharge from the wound showed Acid fast bacilli on Ziehl Neelsen stain, and Histopathology report confirmed tubercular infection. Patient was treated with standard anti tubercular drugs, and is responding well to treatment. A high degree of suspicion is required for exact identification of unusual pathogens in cases of recurrent postoperative wound infection.

No abstract

A 30 year old Indian woman presented to the ObGy Department with history of amenorrhea for two years associated with progressively increasing hirsuitism, clitoral hypertrophy and generalised hyperpigmentation of skin all over her body. On evaluation her serum testosterone was found to be elevated (403ng/dl). Endocrine evaluation revealed glucose intolerance and a mild elevation in ACTH. CT Scan of the Abdomen and Pelvis revealed mildly enlarged ovaries bilaterally and normal adrenal gland anatomy. In view of an ovarian pathology she underwent wedge resection of both ovaries and histopathology of the ovaries was reported as ovarian hyperthecosis. Postoperatively she was given an antiandrogen flutamide and a short course of dexamethasone following which she resumed her menstrual function within 2 months and showed a improvement in androgenic symptoms after 6 months. Hence Wedge resection of ovaries followed by antiandrogens and corticosteroids postoperatively is an effective method of treating hyperandrogenic symptoms.