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Primary Tuberculosis of Cervix: A Coincidental Finding
Nalini Sharma1, Ahanthem Santa Singh1, Yookarin Khonglah2
1Department of Obstetrics and Gynaecology, North Eastern Indira, Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
Journal of Reproduction & Infertility
|December 7, 2016
Summary
Primary cervical tuberculosis (TB) is rare, with most female genital tract TB affecting other tissues. This case highlights the importance of considering cervical TB in abnormal cervical findings for early diagnosis and improved reproductive potential.
Area of Science:
- Gynecology
- Infectious Diseases
- Pathology
Background:
- Tuberculosis (TB) of the female genital tract (FGT) predominantly affects tissues other than the cervix (95%).
- Primary cervical tuberculosis is exceptionally rare.
Observation:
- A case report details a 34-year-old nulliparous patient with endometrioma presenting with a cervical growth.
- Histopathological examination revealed epithelioid cell granulomas, Langhans giant cells, and caseation.
- Ziehl-Neelsen staining confirmed the presence of acid-fast bacilli (AFB).
Findings:
- The patient was diagnosed with primary cervical tuberculosis co-occurring with endometrioma.
- Treatment involved directly observed anti-tuberculosis therapy and oral contraceptive pills.
Implications:
- Cervical tuberculosis, though rare, must be considered in the differential diagnosis of abnormal cervical appearances, particularly in TB-prevalent areas.
- Prompt diagnosis and treatment in women of all age groups, especially those of reproductive age, can prevent reproductive tract damage and improve fertility outcomes.
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