Liu Xiaoning, Mei Heng, Huang Bangmin, Zhang Liangzhu, Li Ye
Department of Tuberculosis, Anhui Chest Hospital, Hefei, Anhui Province, China.
IDCases. 2025 Jul 27;41:e02335. doi: 10.1016/j.idcr.2025.e02335. eCollection 2025.
Genitourinary tuberculosis is often secondary to tuberculosis in other parts of the body, and transmits through blood, direct spread, and lymphatic pathway. Female primary infection through sexual intercourse with an active reproductive tuberculosis spouse in an upward transmission way is rare.
There is an elderly couple with testicular tuberculosis in the male and endometrial tuberculosis in the female. The onset of male patients precedes female patients, and there is no protected sexual intercourse. The possibility of direct sexual transmission and primary infection of genitourinary tuberculosis is considered.
Our findings raise awareness of the transmission route of reproductive system tuberculosis, attach importance to prevention and reduce damage, which is of great significance to reducing infertility and the resulting family problems.
泌尿生殖系统结核常继发于身体其他部位的结核,通过血液、直接蔓延和淋巴途径传播。女性通过与患有活动性生殖系统结核的配偶性交以上行传播方式发生原发性感染较为罕见。
有一对老年夫妇,男性患睾丸结核,女性患子宫内膜结核。男性患者发病早于女性患者,且有无保护性行为。考虑存在泌尿生殖系统结核直接性传播及原发性感染的可能性。
我们的研究结果提高了对生殖系统结核传播途径的认识,重视预防并减少损害,这对于降低不孕症及由此产生的家庭问题具有重要意义。