Genatial tüberküloz: Vulvovajinal akıntı ve şişliğin nadir bir nedeni

Burada vulvovajinal kitle ve vajinal akıntı şikâyeti ile gelen vulvovajinal tüberküloz (TB)'lu bir hasta sunulmaktadır. Teşhis maligniteden şüphelenilerek eksize edilen biyopsi örneklerinin histopatolojik olarak incelenmesi ve servikal smear kültüründe Mycobacterium tuberculosis üremesi ile kondu. Hasta antitüberküloz ilaçlarla tedavi edildi. Bu makalede genital TB ve jinekolojik etkileri medikal literatür ışığında tartışılmaktadır.

Genital tuberculosis: A rare cause of vulvovaginal discharge and swelling

Herein, we report a patient with vulvovaginal tuberculosis (TB) presented with a vulvovaginal mass and vaginal discharge. The diagnosis was made by both histopathological examination of the excised specimen which was clinically suspected to be a malignant lesion and cervical smear culture positivity for Mycobacterium tuberculosis. The patient was prescribed a full course of anti-tuberculous drugs. In this report, we discuss the genital TB and its gynecological effects in the light of medical literature. J Microbiol Infect Dis 2013; 3(3): 141-143

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1. World Health Organization (WHO). Global Tuberculosis Control 2009 - Epidemiology, Strategy, Financing. http://www. who.int/tb/publications/global_report/2009/en/index.html (Accessed April, 2013).
2. Ghosh K, Ghosh K, Chowdhury JR. Tuberculosis and female reproductive health. J Postgrad Med 2011;57:307-313.
3. Duggal S, Duggal N, Hans C, Mahajan RK. Female genital TB and HIV co-infection. Indian J Med Microbiol 2009;27:361-363.
4. Chaudhary NN. Overview of tuberculosis of the female genital tract. J Indian Med Assoc 1996;94:345-346.
5. Nemati E, Taheri S, Nourbala MH, Einollahi B. Vaginal tuberculosis in an elderly kidney transplant recipient. Saudi J Kidney Dis Transpl 2009;20:465-467.
6. Namavar Jahromi B, Parsanezhad ME, Ghane-Shirazi R. Female genital tuberculosis and infertility. Int J Gynaecol Obstet 2001;75:269-272.
7. Figueroa-Damian R, Martinez-Velazco I, Villagrana-Zesati R, Arredondo-Garcia JL. Tuberculosis of the female reproductive tract: effect on function. Int J Fertil Menopausal Stud 1996;41:430-436.
8. Singh N, Sharma AK, Dadhwal V, et al. Postoperative flare-up of genital tuberculosis: a clinical reality. Int J Tuberc Lung Dis 2008;12:981-983.
9. Amouri M, Masmoudi A, Boudaya S, et al. Acquired lymphangioma circumscriptum of the vulva. Dermatol Online J 2007;13:10.