Clinical Presentations and Diagnostic Challenges of Genital Tuberculosis in Resource Limited Setting: A Case Report

Abstract

Background
Tuberculosis can affect any organ in the body. Genital tuberculosis is generally rare. The relative rarity and lack of cardinal symptoms of female genital tuberculosis leads to a delay in diagnosis.
Case detail
A 26-year-old primipara mother who was relatively healthy previously presented with amenorrhea and infertility. Dilatation and curettage was done and the endometrial tissue was subjected to histopathology and histopathology returned back with endometrial tuberculosis. She was subsequently put on anti-tubercular medications 2(RHZE)/4(RH) and copper intrauterine device (ParaGard) to avoid adhesion reformation.
Conclusion
Incidence of genital TB varies not only with the prevalence of extragenital TB in the community but also with the physician’s interest in searching for the disease. Physicians should maintain high index of suspicion for genital tuberculosis in developing countries with high tuberculosis burden like ours.