INFERTILITY CASES IN PULMONARY MEDICINE DEPARTMENTS

Öz

Herein, we present two cases of infertility who were evaluated by urologists and gynecologists. The first case was a 33-year-old man with recurrent sinusitis and bronchiectasis since 10 years old, and he was evaluated by an urologist due to infertility. He had cough, wheeze, and sputum. On his physical examination, bilateral crackles and rhonchi were detected. Bilateral diffuse bronchiectasis and hyperinflation were seen at thoracic tomography, and changes consistent with chronic sinusitis were shown on paranasal sinus tomography. He was treated with azithromycin, inhaled tobramycin, and dornase-alpha. His complaints improved and no bacterium was detected in the sputum culture. Our second case was a 28-year-old woman. Granulomatous salpingitis was identified in the histopathological examination of the excised hidropic left tuba. She had night sweats and pelvic pain. Bilateral fibrotic apical parenchymal changes were seen in thoracic tomography. Genital tuberculosis was diagnosed, and she received antituberculosis treatment. At two months, night sweat and groin pain resolved.

Anahtar Kelimeler

• Genital tuberculosis,cystic fibrosis,infertility

Göğüs hastalıkları kliniklerinde değerlendirilen infertilite olguları

Öz

İnfertilite nedeni ile üroloji ve kadın doğum klinikleri tarafından takip edilen iki farklı olgunun sunulması amaçlanmıştır. İlk olgu 10 yaşından beri bronşektazi ve tekrarlayan sinüziti olan, infertilite tedavisi gören 33 yaşında erkek hasta idi. Öksürük, hırıltı ve balgam yakınması olan hastanın fizik bakısında yaygın raller ve ronküsler saptandı. Toraks tomografisinde her iki akciğerde yaygın bronşektazi alanları, havalanma artışı, paranazal sinüs tomografisinde sinüzit ile uyumlu değişiklikler izlendi. İnhale tobramisin ve dornaz-alfa ile azitromisin başlandı. Yakınmaları gerileyen hastanın balgam kültüründe herhangi bir üreme saptanmadı. İkinci olgu yirmi sekiz yaşında kadın hasta idi. Eksize edilen sol hidropik tuba dokusunun histopatolojik incelemesinde granülomatoz salpenjit izlenmişti. Gece terlemesi ve kasıklarda ağrı yakınması vardı. Kontrastlı toraks tomografisinde bilateral apikal sekel fibrotik değişiklikler izlendi. Genital tüberküloz tanısı konulan hastanın antitüberküloz tedavinin ikinci ayında gece terlemesi ve kasıklarda ağrı yakınması geriledi.

Anahtar Kelimeler

• Genital tüberkuloz,kistik fibrozis,infertilite

Kaynakça

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