A rare case report of tuberculosis endometritis in a private hospital Dar es salaam, Tanzania
Obstetrics and Gynaecology (East Africa)
Tuberculosis endometritis is a pathological diagnosis and has been always over shadowed by pelvic tuberculosis. It is usually asymptomatic, but patients could complain of menstrual irregularity and per vaginal discharge. We report a case of a 37-year-old female who presented with per vaginal discharge for 2 years. Histopathology showed numerous caseating and non-caseating granulomas with plasma cells, Ziehl–Neelsen stain for acid fast bacillus is positive, and she was initiated on anti-tuberculosis treatment. On subsequent follow-up visits, patient was doing well with complete resolution of symptoms. Genital tuberculosis is usually caused by reactivation of organism from systemic distribution during primary infection. It is estimated that approximately 8 million cases of tuberculosis occur worldwide every year, 95% of which are from developing countries. Tuberculosis usually affects the lung but about one-third of patients have extra pulmonary involvement which include female genitals organs and other organs. Genital tuberculosis is an indolent infection: its common symptoms include pelvic pain, vaginal bleeding, amenorrhea, vaginal discharge, and infertility. Most of the patients respond quickly after initiating anti-tuberculosis medications. We recommend that all patients with a positive Ziehl–Neelsen stain and menstrual abnormalities undergo aggressive evaluation for genital tuberculosis.
SAGE Open Medical Case Reports
Kyejo, W., Moshi, B., Gidion, D., Abeid, M., Somji, S., Kaguta, M., & Mgonja, M. (2023). A rare case report of tuberculosis endometritis in a private hospital Dar es salaam, Tanzania. SAGE Open Medical Case Reports, 11, 2050313X221150054. doi:10.1177/2050313X221150054
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