Genital Tuberculosis Associated Pyosalpinx: Report of Two Cases

Year 2015, Volume: 40 Issue: 2, 330 - 335, 28.09.2015

Nazlı Kala Hasan Topçu Ali Güzel Sabri Cavkaytar Melike Doğanay Hüseyin Yeşilyurt

https://doi.org/10.17826/cutf.07092

Abstract

Tuberculosis is an infectious disease which typically affects the lungs and caused by Mycobacterium tuberculosis. Genital tract is commonly affected secondary to a primary lesion via peritoneal, hematogenous or lymphatic spread. It causes destruction in tissue due to granulomatous reaction and is a cause of infertility in affected patients when the infection locates on genital tract. The aim of this study was to report two cases of genital and peritoneal tuberculosis of a 20 year-old women that underwent surgery because of bilateral pyosalpinx and another case with genital and peritoneal tuberculosis of a 27year-old women that underwent surgery because of bilateral adnexal mass.

Keywords

Genital tuberculosis, peritoneal tuberculosis, pyosalpinx

Genital Tüberküloz İlişkili Pyosalpinks: İki Olgu Sunumu

Abstract

Tüberküloz, tipik olarak akciğeri etkileyen ve Mycobacterium tuberculosis tarafından oluşturulan enfeksiyöz bir hastalıktır. Genital kanal genellikle primer lezyona sekonder olarak peritoneal, hematojen veya lenfatik yayılımla tutulmaktaktadır. Enfeksiyon, granülomatöz reaksiyona bağlı doku hasarı yapmakta, genital kanal tutulumu olan hastalarda infertiliteye neden olmaktadır. Bu çalışmanın amacı, bilateral pyosalpinks nedeniyle opere olan 20 yaşındaki genital ve peritoneal tuberkülozlu bir olguyla bilateral adneksiyal kitle nedeniyle opere olan 27 yaşındaki genital ve peritoneal tüberkülozlu bir başka olguyu sunmaktır

Keywords

Genital tüberküloz, peritoneal tüberküloz, pyosalpinks

References

• WHO World Health Organization. Global
• Hasanzadeh M, Naderi HR, Shahidsales S. Female
• Tuberculosis Report. 2013.
• Seshadri Lakshmi. Essentials of gynaecology. New Delhi: Wolters Kluwer India Pvt Ltd; 2012.
• Elkin M. Urogenital tuberculosis. In: Pollack HM, editor. Clinical urography. 1st ed. Philadelphia: WB Saunders Co. 1990;1020–52.
• Varma TR. Genital tuberculosis and subsequent fertility. Int J Gynaecol Obstet. 1991;35:1–11.
• Zhao WH, Hao M. Pelvic inflammatory disease: a retrospective clinical analysis of 1,922 cases in North China. Gynecol Obstet Invest. 2014;77:169-75.
• Qureshi RN, Samad S, Hamid R, Lakha SF. Female Genital Tuberculosis Revisted, Department of Obstetrics and Gynaecology, The Aga Khan University Hospital, Karachi. J Pak Med Assoc. 2001;51:16–8.
• Namavar-Jahromi B, Parsanezhad ME, Ghane- Shirazi R. Female genital tuberculosis and infertility. Int J Gynaecol Obstet . 2001;75:269–72.
• Sutherland AM. Surgical treatment of tuberculosis of the female genital tract. Br J Obstet Gynaecol . 1980;87:610–2.
• Malani AK, Rao J. Peritoneal tuberculosis. Mayo Clin Proc. 2006;81:443.
• Hassoun A, Jacquette G, Huang A, Anderson A, Smith MA. Female genital tuberculosis: uncommon presentation of tuberculosis in the United States. Am J Med . 2005;118:1295–9.
• Ilmer M, Bergauer F,Mylonas I. Genital Tuberculosis as the Cause of Tuboovarian Abscess in an Immunosuppressed Patient. Infect Dis Obstet Gynecol. 2009;2009:745060.
• Rajaratnam A, D’Cunha P, Fernandes H. Tuberculous Salpingitis: A Case Report. J Clin Diagn Res. 2013;7:1186–8.
• Kokkayil P, Rawre J, Malhotra N, DhawanB. Co- infection of Mycoplasma genitalium and Chlamydia trachomatis in an infertile female patient with genital tuberculosis. Indian J Pathol Microbiol.2013;56:457- 9. genital tract tuberculosis presenting as ovarian cancer. J Res Med Sci. Feb. 2014;19:184–9.
• Singh KK, Muralidhar M, Kumar A, Chattopadhyaya TK, Kapila K, Singh MK, et al. Comparison of in house polymerase chain reaction with conventional techniques for the detection of Mycobacterium tuberculosis lymphadenopathy. J Clin Pathol. 2000;53:355-61.
• Rimek D, Tyagi S, Kappe R. Performance of an IS6110-based PCR assay and the COBAS AMPLICOR MTB PCR system for detection of Mycobacterium tuberculosis complex DNA in human lymph node samples. J Clin Microbiol. 2002;40:3089- 92.
• Sutherland AM. The changing pattern of tuberculosis of the female genitaltract. A thirty-year survey. Arch Gynecol. 1983;234:95–101.
• Schaefer G. Female genital tuberculosis. Clin Obstet Gynecol. 1976;19:223–39.
• Singh N, Sumana G, Mittal S. Genital tuberculosis: a leading cause for infertility in women seeking assisted conception in North India. Arch Gynecol Obstet. 2008;278:325–7 20. Afzali N, Ahmadi F, hysterosalpingography findings of female genital tuberculosis: A case series. Iran J Reprod Med. 2013;11: 519–24. Akhbari
• F. Various 23. Tripathy SN, Tripathy SN. Gynaecological
• tuberculosis-An update. Ind. J. Tub. 1998;45:193.