Cytologic Detection of Tuberculous Cervicitis

Genital tuberculosis with variable presentation: a series of three cases

“…Although isolation of the M tuberculosis is the gold standard for diagnosis but approximately one-third cases are culture negative, hence diagnosis can be missed. But if tubercular granuloma is present it is sufficient for diagnosis (as in Case 1),11 In Case 3 AFB culture not done and antituberculor treatment was started on the basis of positive PCR in endometrial tissue. Similar conclusion was made by Kulshrestha et al 12 in which a quarter of women received ATT solely on the basis of PCR and 31% of these women conceived.…”

Tuberculosis masquerading carcinoma cervix and carcinoma endometrium: 2 case reports

“…2,13,14 Isolation of the mycobacterium is the gold standard for diagnosis but about one third of cases are culture negative. 1,15 Therefore, the presence of typical granulomata is sufficient for diagnosis if other causes of granulomatous lesions such as Chamydia trachomatis, Neisseria Gonorrhoea etc. are excluded or a primary focus identified.…”

Think TB in Cervical Lesions Causing Abnormal Vaginal Bleed

“…Cases of tuberculous cervicitis are often clinically diagnosed as carcinoma of the cervix since the punctation and mosaic pattern observed on colposcopic examination leads to an erroneous impression of malignancy [1]. The atrophic postmenopausal endometrium is thought to be poorly supportive of tubercle bacilli [2].…”

“…In 92% of cases, genital tuberculosis is secondary to a focus in the lungs, lymph nodes, urinary tract, bones, or joints. Given the hormone-dependent nature of female genital tuberculosis, 90% of cases involve women under 40 years of age [1].…”