Female Genital Tuberculosis Diagnosis to Treatment
Journal Title: Pan Asian Journal of Obstetrics & Gynecology - Year 2018, Vol 1, Issue 2
Abstract
Genital tuberculosis in females (FGTB) is a significant cause of morbidity. Mycobacterium tuberculosis is a causative agent for tuberculosis (TB). In majority of cases tubes are involved in almost 90-100% of cases. Endometrium is the next commonly involved organ (50-80%), ovarian involvement is seen in 20-30% of cases followed by cervical involvement (5-15%). Vulva and vagina are rarely involved (1-2%). Diagnosis of FGTB is traditionally made by the presence of tubercular bacilli on microscopic examination or culture of endometrial biopsy specimen or granuloma in histopathological examination. Polymerase chain reaction have false positive results and as an isolated test it is not enough to detect the condition. Gold standard investigation for the diagnosis of FGTB is hysteroscopy and laparoscopy. Genital tuberculosis falls under category 1 of Directly Observed Treatment Short Course (DOTS) treatment and antitubercular treatment is given for 6 months. Therapy consist of initial 2 months of rifampicin, isoniazid, pyrazinamide and ethambutol and 4 months treatment with two drugs i.e. rifampicin and isoniazid. Surgical treatment has a very limited role, particularly for the drainage of residual tubercular abscess
Authors and Affiliations
Neha Varun
Keywords
Related Articles
- EP ID EP546230
- DOI -
- Views 142
- Downloads 0
Plexiform Tumorlets of Uterus: A Case Report
Plexiform leiomyoma, a variant of epithelioid leiomyoma of the uterus is an incidental finding in hysterectomy specimens. Small plexiform leiomyomas that are detected only on microscopic examination are referred to as pl...
Type-2 Mayer-Rokitansky-Kuster-Hauser Syndrome with Periureteric Fibrosis: A Rare Association
Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, Type 2 is a form of mullerian agenesis typically associated with renal, skeletal, and ovarian abnormalities. It has an incidence of 1 in 1,00,000 in general population. Thi...
Acardiac Anceps Twin: Case Report
Acardiac twin is an anomaly, which rarely occurs in monochorionic twin pregnancies. The normal twin is also called as pump twin as it pumps blood to the acardiac twin. Acardiac twin lives like a parasite with normal twin...
Approach to a Case of Dysmenorrhea
Dysmenorrhea is one of the most common clinical complaints in women. Magnitude of its effect on women’s life is immense. It leads to a major loss of productive life, yet it is the most under-rated condition in terms of d...
Luteal Phase Support: Why, When and How
Luteal phase support (LPS) is a known intervention for preventing the pregnancy loss. It is most commonly used in the artificial reproduction cycles. Most common agent used for the LPS is progesterone. Current review dis...