Disseminated Tuberculosis Masquerading as a Uterine Cervical Mass in an Immunocompetent Young Female: A Case Report
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Summary
This summary is machine-generated.Disseminated tuberculosis (TB) is rare in immunocompetent individuals. This case highlights a young woman with disseminated TB presenting with unusual symptoms, emphasizing the need for broad diagnostic considerations.
Area Of Science
- Medicine
- Infectious Diseases
- Pathology
Background
- Disseminated tuberculosis (TB) involves multiple non-contiguous organs and is uncommon in immunocompetent patients.
- Early diagnosis and treatment are crucial for managing disseminated TB.
Observation
- A young, immunocompetent woman presented with amenorrhea and dysuria.
- Initial investigations revealed a uterine cervical mass, bilateral lung opacities, and involvement of kidneys, lymph nodes, adrenals, sacroiliac regions, and the gastrointestinal tract.
Findings
- Histopathological examination of the cervical mass and terminal ileum ulcer confirmed epithelioid granulomata, Langhans giant cells, and acid-fast bacilli (AFB).
- Imaging studies (ultrasound, CT) identified widespread organ involvement consistent with disseminated TB.
Implications
- This case underscores the importance of considering disseminated TB in immunocompetent patients presenting with atypical symptoms.
- Prompt diagnosis through histopathology and imaging is vital for initiating timely anti-tubercular treatment and improving patient outcomes.

