| Autor: |
Howard B, Goldstein, Robert P, Siefring |
| Rok vydání: |
2006 |
| Předmět: |
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| Zdroj: |
The Journal of reproductive medicine. 51(9) |
| ISSN: |
0024-7758 |
| Popis: |
Tuberculosis most often affects the pulmonary system; however, 8-15% of cases infect the genitourinary system. The primary treatment of uterine tuberculosis is medical therapy, and only when that fails is surgical intervention warranted.A 75-year-old woman presented with chronic back pain and fatigue. She had been on prednisone for 9 years for autoimmune hepatitis and had earlier exposure to tuberculosis. Evaluation led to the diagnosis of uterine tuberculosis. The patient was unable to tolerate a full course of antituberculin therapy, so she underwent an abdominal hysterectomy and bilateral salpingo-oophorectomy.We believe the patient had latent uterine tuberculosis that was reactivated from her chronic steroid use. If she had a purified protein derivative test prior to the start of prednisone therapy, latent tuberculosis may have been diagnosed and treated before she developed a clinically active infection. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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