Kaya Abdurrahman, Kaya Sibel Yildiz, Zerdali Esra, Can Ali
Department of Infectious Diseases, Istanbul Training and Research Hospital, Istanbul, Turkey.
Department of Infectious Disease, Sungurlu State Hospital, Çorum, Turkey.
Gynecol Minim Invasive Ther. 2021 Jan 30;10(1):41-43. doi: 10.4103/GMIT.GMIT_25_20. eCollection 2021 Jan-Mar.
Female genital tuberculosis (FG-TB) is an important disease leading to substantial morbidity including infertility and abnormal vaginal bleeding. While the incidence of FG-TB is < 1% in a developed area, its incidence is >1% in developing countries. Due to its subtle presentation, many cases are overlooked and diagnosed incidentally. Accordingly, the actual incidence of FG-TB is unknown. The definitive diagnosis of the disease is based on histopathological or microbiological examination but in most cases, the bacteriological test is overlooked. In addition, there is no specific laboratory or imaging evaluation to distinguish FG-TB from others. The first step in the diagnosis of FG-TB is suspicion of the disease. In the case of infertility, FG-TB should be included in the differential diagnosis in developing countries after excluding other common diseases and tissue biopsy should be sent for not only histopathology but also microbiological investigations.
女性生殖器结核（FG-TB）是一种导致包括不孕和异常阴道出血等大量发病情况的重要疾病。虽然FG-TB在发达地区的发病率<1%，但在发展中国家其发病率>1%。由于其表现隐匿，许多病例被忽视并偶然确诊。因此，FG-TB的实际发病率尚不清楚。该疾病的确诊基于组织病理学或微生物学检查，但在大多数情况下，细菌学检测被忽视。此外，没有特定的实验室或影像学评估来区分FG-TB与其他疾病。FG-TB诊断的第一步是怀疑该病。对于不孕病例，在排除其他常见疾病后，发展中国家应将FG-TB纳入鉴别诊断，并且不仅应将组织活检送去做组织病理学检查，还应送去做微生物学检查。
