Genet C, Ducroix-Roubertou S, Gondran G, Bezanahary H, Weinbreck P, Denes E
Service des Maladies Infectieuses et Tropicales, CHU Dupuytren, Limoges.
J Gynecol Obstet Biol Reprod (Paris). 2006 Feb;35(1):71-3. doi: 10.1016/s0368-2315(06)76374-8.
A 69-year-old menopaused woman, presented a 2-month history of metrorrhagia. We suspected a malignant disease, but, the histopathologic examination of biopsies, found an endometrial inflammation without malignant cells. Culture for mycobacteria showed a Mycobacterium tuberculosis. A course of four-drug antituberculous therapy was started and the patient recovered. Tuberculosis remains a common disease, but genital infection is infrequent. Usually, it concerns young infertile women from non-industrial countries. More attention should be paid to this disease. Women, irrespective of their age, should be investigated for silent or subclinical genital symptoms, with mycobacterial examination.
一名69岁的绝经后女性,有2个月的子宫出血病史。我们怀疑是恶性疾病,但活检的组织病理学检查发现为子宫内膜炎症,无恶性细胞。结核分枝杆菌培养显示为结核分枝杆菌。开始了为期四个月的四联抗结核治疗,患者康复。结核病仍然是一种常见疾病,但生殖器感染并不常见。通常,它发生在来自非工业化国家的年轻不孕女性身上。应更加关注这种疾病。无论年龄大小,女性若出现隐匿性或亚临床生殖器症状,都应进行结核分枝杆菌检查。