[Rare location of tuberculosis: endometrial tuberculosis].
Autor: | Agbodande AK; Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin., Dodo RL; Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin., Issa A; Clinique de la Patte d'Oie, Cotonou, Bénin., Adjadohoun S; Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin., Azon-Kouanou A; Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin., Wanvoegbe AF; Centre Hospitalier Universitaire Départemental de Ouémé Plateau, Porto Novo, Bénin., Akanni MD; Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin., Prudencio R; Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin., Zannou DM; Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin., Houngbe F; Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin. |
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Jazyk: | francouzština |
Zdroj: | The Pan African medical journal [Pan Afr Med J] 2019 May 21; Vol. 33, pp. 45. Date of Electronic Publication: 2019 May 21 (Print Publication: 2019). |
DOI: | 10.11604/pamj.2019.33.45.17520 |
Abstrakt: | Tuberculosis is a public health problem, especially in the developing countries. Bacillary pulmonary tuberculosis is the most common form of tuberculosis while genital tuberculosis is rare and underdiagnosed. We here report a case of endometrial tuberculosis. The study involved a 72-year old female patient with SC hemoglobinopathy consulting her gynecologist because of chronic leukorrhea. Cytobacteriologic assessment of vaginal swabs showed Streptococcus agalactatiae. Despite suitable antibiotic therapy, the evolution was marked by the persistence of leukorrhea. Pelvic ultrasonography objectified thickened endometrium, appearing as hyperechoic at the base of the uterus. This was suggestive of endometrial cancer. Anatomo-pathological examination of endometrial curettage samples showed granulomatous endometritis suggesting follicular tuberculosis. Outcome was favorable under antituberculosis treatment. In TB endemic areas, genital tuberculosis is not exceptional and should be suspected in patients with chronic leukorrhea despite suitable treatment. Competing Interests: Les auteurs ne déclarent aucun conflit d’intérêts. |
Databáze: | MEDLINE |
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