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Lesión vulvar aislada por Mycobacterium tuberculosis: Reporte de un caso
Caren Challita1, Nour El Moussawi2, Maya Dagher1
1Division of Infectious Diseases, Department of Internal Medicine, American University of Beirut Faculty of Medicine, Beirut 11072020, Lebanon.
Infectious medicine
|December 24, 2025
Resumen
La tuberculosis vulvar es una infección rara. Un caso de lesión vulvar crónica tratada con éxito con terapia antituberculosa estándar resalta la necesidad de considerar la tuberculosis en áreas endémicas.
Área de la Ciencia:
- Enfermedades Infecciosas
- Dermatología
- Ginecología
Sus antecedentes:
- La tuberculosis vulvar es una forma extremadamente rara de tuberculosis extrapulmonar causada por Mycobacterium tuberculosis.
- Las lesiones vulvares crónicas pueden ser mal diagnosticadas, a menudo tratadas como infecciones de transmisión sexual.
Objetivo del estudio:
- Reportar un caso de tuberculosis vulvar aislada.
- Enfatizar los desafíos diagnósticos y el tratamiento de esta rara condición.
Principales métodos:
- Estudio de caso de una mujer de 28 años con una lesión vulvar persistente.
- Diagnóstico confirmado mediante biopsia vulvar que mostró granulomas caseificantes y cultivo micobacteriano positivo.
Principales resultados:
- La paciente presentó un historial de 3 meses de una lesión vulvar dolorosa no respondedora a antibióticos.
- La histopatología reveló granulomas caseificantes y se cultivó Mycobacterium tuberculosis a partir de la biopsia.
- Se logró la resolución completa con la terapia antituberculosa estándar.
Conclusiones:
- Este caso subraya la importancia de considerar la tuberculosis en regiones endémicas para lesiones vulvares crónicas.
- La biopsia de tejido y los cultivos micobacterianos prolongados son cruciales para el diagnóstico, especialmente cuando las tinciones iniciales son negativas.
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