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表现多样的生殖器结核:三例系列报道

Genital tuberculosis with variable presentation: a series of three cases.

作者信息

Sachan Rekha, Patel Munna Lal, Gupta Pooja, Verma Ajay Kumar

机构信息

Department of Obstetrics and Gynaecology, CSM Medical University, Lucknow, Uttar Pradesh, India.

出版信息

BMJ Case Rep. 2012 Aug 27;2012:bcr2012006665. doi: 10.1136/bcr-2012-006665.

Abstract

Tuberculosis (TB) is still frequently observed in third-world countries like Africa and Asia. Here we report three cases of genital TB with variable presentation. First case was a lady of reproductive age group who presented with polymenorrhagia and postcoital bleeding with unhealthy cervix. Histopathology of cervical tissue revealed tubercular cervicitis. Second and third cases presented with different complaints like discharge per vaginum, postcoital bleeding and pain in lower abdomen with growth over the cervix. Cervical biopsy was inconclusive of TB but endometrial tissue sampling for TB PCR was positive. This shows that newer diagnostic marker test can help us to detect secondary genital TB.

摘要

结核病(TB)在非洲和亚洲等第三世界国家仍屡见不鲜。在此,我们报告三例表现各异的生殖器结核病例。首例为育龄期女性,表现为月经过多和性交后出血,宫颈状况不佳。宫颈组织的组织病理学检查显示为结核性宫颈炎。第二例和第三例表现出不同的症状,如阴道分泌物、性交后出血和下腹部疼痛,宫颈有肿物。宫颈活检不能确诊为结核,但子宫内膜组织结核聚合酶链反应(PCR)检测呈阳性。这表明新的诊断标志物检测有助于我们发现继发性生殖器结核。

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