Genital Tuberculosis: Coexisting Vulval and Endometrial Tuberculosis in a Multiparous Female
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 2
Abstract
Abstract Vulval Tuberculosis (TB) is rare and is diagnosed in only about 0.2% cases of genital tract TB which itself constitutes 0.2 to 2% of all gynaecological cases. Clinically signs and symptoms are variable ranging from asymptomatic to infertility and chronic Pelvic Inflammatory Diseases (PID). Female genital tract is involved via haematogenous or lymphatic dissemination or from direct contiguity from a primary focus of infection elsewhere in the body. Diagnosis of vulval or endometrial TB is made on histopathological examination of lesions which show classical caseating granulomas. Demonstration of Mycobacterium is considered as gold standard. Authors in the past have found typical epitheloid granulomas but failed to obtain positive results on ZN staining. We hereby present a rare case of TB of vulva in an unsuspecting multiparous middle aged female who presented with two years amenorrhoea, burning micturition and difficulty in walking, backache and lower abdominal pain off and on and a popular ulceration on inner aspect of labia minora. The patient was clinically misdiagnosed as pelvic inflammatory disease. Investigations following diagnosis of vulval TB helped discover underlying co existent endometrial tubercular involvement as well. In present case Acid Fast Bacilli (AFB) were identified on ZN staining of the histopathology sections.
Authors and Affiliations
Shalini Bahadur, Ruchi Rathore, Upasana Verma, Namrata Nargotra
Keywords
Related Articles
- EP ID EP509631
- DOI 10.7860/JCDR/2018/31851.11213
- Views 31
- Downloads 0
Muscle Activation Profiles and CoActivation of Quadriceps and Hamstring Muscles around Knee Joint in Indian Primary Osteoarthritis Knee Patients
Introduction: Osteoarthritis (OA) of knee is a common joint disease. It is associated with reduced knee joint stability due to impaired quadriceps strength, pain, and an altered joint structure. There is altered muscle a...
The Level of Professional Autonomy in Iranian Nurses
ABSTRACT Introduction: Professional autonomy plays an important role in nurses’ job satisfaction and the outcomes of patient care. A review of literature shows the presence of nurses’ dissatisfaction in regard to their p...
A Prospective Analysis of Drug Interactions in Patients of Intensive Cardiac Care Unit
Introduction: Drug-Drug Interaction (DDI) is a serious concern in cardiac patients due to polypharmacy. Aim: The present study was aimed to identify the potential DDI among hospitalized cardiac patients and evaluate the...
Patients with Autism Spectrum Disorders: Strategy for Orthodontic Care
Autism Spectrum Disorders (ASD) are developmental behavioural defined neuropsychiatric disorders that start in early childhood involving social abnormalities, language-communication deficit play, and restricted behaviour...
A Comparison of Clinicopathological Differences in Oral Squamous Cell Carcinoma in Patients Below and Above 40 Years of Age
Introduction: Recent times have revealed an increase in incidence of Oral Squamous Cell Carcinoma (OSCC) in young adults including those who lack association with typical risk factors such as tobacco. There are reported...