Rakoto-Ratsimba H N, Samison L H, Razafimahandry H J, Rakotomalala V N, Ranaivozanany A
Service des Urgences Chirurgicales, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA) Ampefiloha, Antananarivo, Madagascar.
Med Trop (Mars). 2003;63(6):608-10.
Female genital tuberculosis is relatively frequent in developing countries. Most cases occur in young women of childbearing age. The most common locations are the tubes, endometrium, and ovaries. Bartholin gland involvement is rare. The purpose of this report is to present a case of Bartholin gland tuberculosis in a 50 year-old woman and to describe the special epidemiological, clinical and therapeutic features associated with this location. Bartholinitis develops insidiously until spontaneous fistula formation. The lesion then gradually assumes a vegetative appearance that persists despite antibiotic treatment. Diagnosis requires biopsy findings demonstrating the presence of granulomatous tissue with caseous necrosis. Patients respond favorably to specific medical treatment. The recent spread of human immunodeficiency virus has increased the need to continue and improve efforts to control turberculosis particularly in endemic zones.
女性生殖器结核在发展中国家相对常见。大多数病例发生在育龄年轻女性中。最常见的部位是输卵管、子宫内膜和卵巢。巴氏腺受累罕见。本报告的目的是介绍一名50岁女性巴氏腺结核病例，并描述与该部位相关的特殊流行病学、临床和治疗特征。巴氏腺炎隐匿发展直至自发形成瘘管。病变随后逐渐呈现出一种尽管接受抗生素治疗仍持续存在的赘生物外观。诊断需要活检结果显示存在伴有干酪样坏死的肉芽肿组织。患者对特定的药物治疗反应良好。人类免疫缺陷病毒的近期传播增加了继续并加强结核病防控工作的必要性，特别是在流行地区。
