Tuberculous Salpingitis: A Case Report

Rajaratnam, Annie; D’Cunha, Prema; Furtado, Zevita; Fernandes, Hilda

doi:10.7860/jcdr/2013/4834.3032

Cited by 7 publications

(9 citation statements)

References 1 publication

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“…Firstly, genital TB is often asymptomatic, resulting in significant diagnostic delays. Second, Its presentation is similar to other genital malignancies such as ovarian carcinoma [7,8]. The definitive diagnosis of TB can only be confirmed by identifying TB on an LJ medium or by acid-fast staining [1,11].…”

Section: Discussionmentioning

confidence: 98%

A Rare Case of Isolated Ovarian Tuberculosis Incidentally Found During In Vitro Fertilization Workup in a Young Woman With Primary Infertility

Rhazari¹,

Thouil²,

Kouismi³

et al. 2022

Cureus

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Female genital tuberculosis (TB) is a common form of extrapulmonary TB (EPTB). It is a major cause of infertility in low-income countries, and in many cases, it is asymptomatic and typically not diagnosed until the patient seeks medical advice for infertility. The infection is usually secondary to primary pulmonary TB via hematogenous or lymphatic dissemination, but sexual transmission through genital TB of the partner is also possible. We describe a rare case of isolated ovarian TB as a fortuitous diagnosis during in vitro fertilization (IVF) workup in a 40-year-old woman with primary sterility and no specific symptoms. This case highlights the importance of screening for TB before an IVF procedure in women with infertility, especially in countries with a high prevalence of this disease.

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Section: Discussionmentioning

confidence: 98%

A Rare Case of Isolated Ovarian Tuberculosis Incidentally Found During In Vitro Fertilization Workup in a Young Woman With Primary Infertility

Rhazari¹,

Thouil²,

Kouismi³

et al. 2022

Cureus

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“…In view of the resurgence of cases of tuberculosis of all forms, the importance of prevention and screening should not be underestimated, especially in endemic areas. In fact, only BCG at birth and the correct treatment of any primary tuberculosis infection, whatever its location, will make it possible to reduce the consequences of this affection and avoid the tragedy of the home without children [25] .…”

Section: Discussionmentioning

confidence: 99%

Adnexal torsion caused by tuberculous pyosalpinx: An uncommon case report of urogenital tuberculosis

Slaoui¹,

Slaoui

Zeraidi³

et al. 2022

International Journal of Surgery Case Reports

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Background According to the World Health Organization, TB is a global public health problem and it remains in 2020 the deadliest infectious disease in the world, ahead of Covid19 ( Global Tuberculosis Report 2020 , 2020). Morocco is an endemic area with more than 30,000 new cases of all forms of tuberculosis each year ( Plan stratégique national 2018-2021 de lutte antituberculeuse , 2018). UGTB is the second most frequent localization after lymph node involvement and is responsible for 30 to 40% of all extrapulmonary cases. Case presentation We hereby present the uncommon case of a 27-year-old virgin woman with unremarkable medical and surgical histories, who presented at the emergency department for left-sided pelvic pain of acute installation. An exploratory laparotomy using a Pfannenstiel incision, demonstrated a peritoneal effusion of low abundance with a twisted left ovary and a huge pyosalpinx. Detorsion was then carefully performed, with improvement in color of the ovary and decrease in edema within 10 min. Histopathological study of the Fallopian tube biopsy revealed granulomatous abscessificated salpingitis with genital tuberculosis. Thus, the patient received her anti-tuberculosis treatment with a course of 6 months of 2HRZE/4HR. Conclusions In view of the resurgence of cases of tuberculosis of all forms, the importance of prevention and screening should not be underestimated, especially in endemic areas. In fact, only BCG at birth and the correct treatment of any primary tuberculosis infection, whatever its location, will make it possible to reduce the consequences of this affection and avoid the tragedy of the home without children.

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“…Among tubal factors, pelvic inflammation and salpingitis are considered to be the major reasons for infertility [63,64,65]. Salpingitis is related to the instigation of an enhanced immune response and actively participates in antibody induction [66]. Although serum ASA definitely reduces the capacity for fertilization in females, many studies have not investigated the correlation between ASA levels and chronic salpingitis.…”

Section: Role Of Antisperm Antibodies In Infertilitymentioning

confidence: 99%

Role of Antisperm Antibodies in Infertility, Pregnancy, and Potential for Contraceptive and Antifertility Vaccine Designs: Research Progress and Pioneering Vision

Vickram

Dhama

Chakraborty³

et al. 2019

Vaccines

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Sperm of humans, non-human primates, and other mammalian subjects is considered to be antigenic. The effect of changes in autoimmunity on reproductive cells such as spermatozoa and oocytes play a critical but indistinct role in fertility. Antisperm antibodies (ASAs) are invariably present in both females and males. However, the degree of ASA occurrence may vary according to individual and gender. Although the extent of infertility due to ASAs alone is yet to be determined, it has been found in almost 9–12% of patients who are infertile due to different causes. Postcoital presence of spermatozoa in the reproductive tract of women is not a contributory factor in ASA generation. However, ASA generation may be induced by trauma to the vaginal mucosa, or by anal or oral sex resulting in the deposition of sperm inside the digestive tract. It is strongly believed that, in humans and other species, at least some antibodies may bind to sperm antigens, causing infertility. This form of infertility is termed as immunological infertility, which may be accompanied by impairment of fertility, even in individuals with normozoospermia. Researchers target ASAs for two major reasons: (i) to elucidate the association between ASAs and infertility, the reason ASAs causes infertility, and the mechanism underlying ASA-mediated infertility; and (ii) to assess the potential of ASAs as a contraceptive in humans in case ASAs influences infertility. Therefore, this review explores the potential application of ASAs in the development of anti-spermatozoa vaccines for contraceptive purposes. The usefulness of ASAs for diagnosing obstructive azoospermia, salpingitis, and oligoasthenoteratozoospermia has been reviewed extensively. Important patents pertaining to potential candidates for spermatozoa-derived vaccines that may be utilized as contraceptives are discussed in depth. Antifertility vaccines, as well as treatments for ASA-related infertility, are also highlighted. This review will address many unresolved issues regarding mechanisms involving ASAs in the diagnosis, as well as prognoses, of male infertility. More documented scientific reports are cited to support the mechanisms underlying the potential role of ASA in infertility. The usefulness of sperm antigens or ASAs (recombinant) in human and wild or captive animal contraceptive vaccines has been revealed through research but is yet to be validated via clinical testing.

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Tuberculous Salpingitis: A Case Report

Cited by 7 publications

References 1 publication

A Rare Case of Isolated Ovarian Tuberculosis Incidentally Found During In Vitro Fertilization Workup in a Young Woman With Primary Infertility

A Rare Case of Isolated Ovarian Tuberculosis Incidentally Found During In Vitro Fertilization Workup in a Young Woman With Primary Infertility

Adnexal torsion caused by tuberculous pyosalpinx: An uncommon case report of urogenital tuberculosis

Role of Antisperm Antibodies in Infertility, Pregnancy, and Potential for Contraceptive and Antifertility Vaccine Designs: Research Progress and Pioneering Vision

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