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Genitourinary tuberculosis: an atypical clinical presentation.

Pei Shan Lim¹, Ixora Kamisan Atan, Aruku Naidu

¹Department of Obstetrics & Gynaecology, Pusat Perubatan UKM, Jalan Yaakob Latif, 56000 Cheras, Kuala Lumpur, Malaysia.

Case Reports in Obstetrics and Gynecology

|January 16, 2013

Summary

Genitourinary tuberculosis can present atypically, causing severe uterovaginal prolapse that mimics cervical cancer. Early suspicion and treatment are crucial, especially in developing nations with limited healthcare access.

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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.