A rare case report of tuberculosis endometritis in a private hospital Dar es salaam, Tanzania.
Willbroad KyejoBrenda MoshiDaudi GidionMuzdalifat AbeidSamina SomjiMunawar KagutaMiriam MgonjaPublished in: SAGE open medical case reports (2023)
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.
Keyphrases
- mycobacterium tuberculosis
- pulmonary tuberculosis
- end stage renal disease
- hiv aids
- case report
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- healthcare
- human immunodeficiency virus
- chronic pain
- pulmonary hypertension
- cell death
- oxidative stress
- single molecule
- skeletal muscle
- cell cycle arrest
- adipose tissue
- hodgkin lymphoma
- polycystic ovary syndrome