Duggal S, Duggal N, Hans C, Mahajan R K
Department of Microbiology, Dr. Ram Manohar Lohia Hospital, New Delhi - 110 001, India.
Indian J Med Microbiol. 2009 Oct-Dec;27(4):361-3. doi: 10.4103/0255-0857.55461.
HIV-induced immunosuppression paves the way for several infections, tuberculosis being very common in our country. Female genital tuberculosis (FGTB), presenting as menstrual irregularities, is a diagnostic challenge in an adolescent female when these may be considered normal. The present case is of a young female who presented with menstrual irregularities, diagnosed subsequently as a case of genital tuberculosis. Microbiological relapse after anti-tubercular treatment of six months caused suspicion of a co-existing immunodeficiency and investigations revealed HIV co-infection; thus emphasizing the need of HIV testing in all patients of tuberculosis for timely diagnosis and treatment support thereafter.
HIV 引起的免疫抑制为多种感染铺平了道路，结核病在我国非常常见。女性生殖器结核（FGTB）表现为月经不规律，在青少年女性中，当这些症状可能被视为正常时，它是一个诊断难题。本病例是一名年轻女性，她因月经不规律就诊，随后被诊断为生殖器结核。抗结核治疗六个月后微生物学复发，这引发了对同时存在免疫缺陷的怀疑，调查发现合并感染了 HIV；因此强调在所有结核病患者中进行 HIV 检测的必要性，以便此后及时诊断并提供治疗支持。
