Difficulties in diagnosing tuberculosis of the cervix in a post menopausal woman: Case report and literature review

Female genital tuberculosis (FGTB) is a common health problem in developing countries. It frequently causes pelvic inflammatory disease, menstrual abnormalities and infertility. It represents 15-20% of extrapulmonary tuberculosis. It is mostly secondary infection acquired from hematogenous spread from extra-genital source such as pulmonary or abdominal tuberculosis. The fallopian tube is affected in almost all the cases followed by endometrium and cervix. It occurs in the most economically productive age of 15-45 years causing infertility in 44-74% of individuals affected. The clinical diagnosis of genital TB requires a high index of suspicion. Infertility and menstrual irregularities are the commonest presentation. Diagnosis requires a multi-modality approach involving clinical, radiological, bacteriological, molecular and histopathological methods. Treatment requires the combination of four drugs (Rifampicin, Isoniazid, ethambutol and pyrazinamide) for a minimum of six months duration. In case of drug resistant tuberculosis reserve drugs are used for the extended period.

show abstract

“…Discharge can be watery, blood-stained, and at times purulent when the lesion got a secondary bacterial infection. 40,41…”

Section: Vaginal Dischargementioning

confidence: 99%

Female genital tuberculosis

Singh

Gupta²,

Yadav³

2022

IJOGR

View full text Add to dashboard Cite

show abstract

“…It has multiple localizations. However, tuberculosis of the cervix is a rare extra-pulmonary involvement [2,3,4]. It poses the problem of diagnosis with cervical cancer [5,6,7].…”

Section: Introductionmentioning

confidence: 99%

Pseudotumoral Tuberculosis of the Cervix: A Case Report

Sow

Ndour

Gaye

et al. 2021

IJMPCR

View full text Add to dashboard Cite

Aim: We aimed to present a rare case of pseudotumoral tuberculosis of the cervix. Introduction: Tuberculosis has many localizations. Urogenital and particularly cervical involvement is rare. Case Presentation: Our observation concerned a case of pseudotumoral tuberculosis of the uterine cervix simulating a cancer. The clinical signs were pelvic pain and metrorrhagia, which were non-specific. The ulcerative-bourgeons appearance of the cervix was suggestive of cancer. Histology allowed the diagnosis to be made by showing an inflammatory granuloma and the absence of malignant cells. Despite the absence of bacteriological evidence, the clinical, biological, and histological presumptive arguments and the good therapeutic response made it possible to correct the diagnosis. The prognosis of our patient was mainly functional due to the risk of infertility. Conclusion: The interest of this observation lay in the rarity of this tuberculosis localization, especially in an immunocompetent subject, and the predominant place of histology.

show abstract