Genitourinary tuberculosis: an atypical clinical presentation

Area of Science:

• Medicine
• Infectious Diseases
• Gynecology

Background:

• Genitourinary tuberculosis (GTB) is a significant form of extrapulmonary tuberculosis.
• Delayed diagnosis and treatment in developing countries contribute to severe complications.
• Healthcare access, patient education, and awareness are critical factors in managing GTB.

Purpose of the Study:

• To report a rare case of genitourinary tuberculosis presenting as massive uterovaginal prolapse with a cervical lesion.
• To highlight the diagnostic challenges and implications of delayed healthcare access in developing countries.
• To emphasize the importance of a high index of suspicion for early recognition and management of GTB.

Main Methods:

• Case report of a patient with atypical genitourinary tuberculosis.
• Clinical presentation, diagnostic workup, and treatment approach are detailed.
• Discussion of contributing factors such as limited healthcare access and patient awareness.

Main Results:

• A case of massive uterovaginal prolapse with a cervical lesion mimicking cervical carcinoma due to genitourinary tuberculosis was identified.
• The condition was complicated by delayed presentation, likely due to issues with healthcare access and patient education.
• The case underscores the potential for severe, atypical presentations of GTB.

Conclusions:

• Genitourinary tuberculosis requires a high index of suspicion, particularly in endemic areas or immunocompromised individuals.
• Early diagnosis and treatment are essential to prevent severe consequences and disease spread.
• While anti-tuberculosis medication is primary, surgical intervention may be necessary in select complicated cases.