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 75
- Downloads 0
Region Specific Reference Intervals for TSH in the First Trimester of Pregnancy: A Three Year Retrospective Study
ABSTRACT Introduction: Alterations in thyroid hormones levels affect maternal health and fetal neurocognitive development. Variation in geophysical and socio-economic factors, and placental Human Chorionic gonadotropin (...
Reliability of the Infraspinatus Test in Carpal Tunnel Syndrome: A Clinical Study
Introduction: Recently, a standardized provocation tests for the infraspinatus muscle, the Infraspinatus test (IsT), aimed at clinically confirming Carpal Tunnel Syndrome (CTS), was validated in a multiple-blind, control...
A Rare Massive Pulmonary Chondroid Hamartoma
ABSTRACT Hamartomas are disorganised but benign masses composed of cells indigenous to the involved site. They are the tumourous lesion consisting of anomalously arranged tissues that are components of the normal lung, s...
The Effect of Soy Isoflavones on the Menopause Rating Scale Scoring in Perimenopausal and Postmenopausal Women: A Pilot Study
Introduction: Menopause is associated with many unpleasant symptoms which vary in different phases of menopausal transition. Although, Hormone Replacement Therapy (HRT) is considered the most effective mode of treatment...
Osteochondroma in Jordanian Patients: Clinical Manifestations and Management
ABSTRACT Introduction: Osteochondroma is the most common benign bone tumour which can be solitary or multiple. Although usually asymptomatic, its associated deformities and secondary malignant transformation potential mi...