Mis-Diagnosis of Genital Organ Tuberculosis Ending in a Severe Asherman Syndrome: A Case Report
Abstract
This case describes a female with long-term primary infertility, labelled with polycystic ovarian syndrome, who showed no response to the given treatments. Hysterosalpingography, performed as part of the in vitro Fertilisation (IVF) preparation, showed Asherman syndrome and calcified lymph nodes. Subsequently, further evaluations confirmed tuberculosis. The case highlights the necessity and importance of the proper assessment of the patients presenting with infertility for early detection of genital TB to prevent end-stage disease.
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[8] Abdissa S, Abebe T, Ameni G, Teklu S, Bekuretsion Y, Abebe M, et al. Endometrial tuberculosis among patients undergoing endometrial biopsy at tikur anbesa specialized hospital, Addis Ababa, Ethiopia. BMC Infectious Diseases. 2018; 18(1):304. [DOI:10.1186/s12879- 018-3202-x] [PMID] [PMCID]
[9] Amin I, Idrees M, Awan Z, Shahid M, Afzal S, Hussain A. PCR could be a method of choice for identification of both pulmonary and extra-pulmonary tuberculosis. BMC Research Notes. 2011; 4:332. [DOI:10.1186/1756-0500-4-332] [PMID] [PMCID]
[10] Shah S, Miller A, Mastellone A, Kim K, Colaninno P, Hochstein L, D’Amato R. Rapid diagnosis of tuberculosis in various biopsy and body fluid specimens by the AMPLICOR mycobacterium tubercu- losis polymerase chain reaction test. Chest. 1998; 113(5):1190-4. [DOI:10.1378/chest.113.5.1190] [PMID]
[11] Sharma JB, Roy KK, Pushparaj M, Gupta N, Jain SK, Malhotra N, et al. Genital tuberculosis: An important cause of Asherman’s syndrome in India. Archives of Gynecology and Obstetrics. 2008; 277(1):37-41. [DOI:10.1007/s00404-007-0419-0] [PMID]
[2] Smikle C, Yarrarapu SN, Khetarpal S. Asherman syndrome. Stat- Pearls [Internet]. 2021 [2021 Agu 9]. [PMID] [PMCID]
[3] Dreisler E, Kjer JJ. Asherman’s syndrome: Current perspectives on di- agnosis and management. International Journal of Women’s Health. 2019; 11:191-8. [DOI:10.2147/IJWH.S165474] [PMID] [PMCID]
[4] Mann C, Maki G, Zervos M, Ravishankar N. Diagnosing genitouri- nary tuberculosis: A Case Report. Clinical Medical Reviews and Case Reports. 2019; 6:268. [DOI:10.23937/2378-3656/1410268][5] Kulchavenya E. Current therapy and surgery for urogenital tuber- culosis. Berlin: Springer; 2016. [DOI:10.1007/978-3-319-28290-9]
[5] Kulchavenya E. Current therapy and surgery for urogenital tuber- culosis. Berlin: Springer; 2016. [DOI:10.1007/978-3-319-28290-9]
[6] Sharma N, Sharma V, Singh PR, Sailwal S, Kushwaha RS, Singh RK, et al. Diagnostic value of PCR in genitourinary tuberculosis. Indian Journal of Clinical Biochemistry. 2013; 28(3):305-8. [DOI:10.1007/ s12291-012-0279-7] [PMID] [PMCID]
[7] Kapoor R, Ansari MS, Mandhani A, Gulia A. Clinical presentation and diagnostic approach in cases of genitourinary tuberculosis. Indian Journal of Urology. 2008; 24(3):401-5. [DOI:10.4103/0970- 1591.42626] [PMID] [PMCID]
[8] Abdissa S, Abebe T, Ameni G, Teklu S, Bekuretsion Y, Abebe M, et al. Endometrial tuberculosis among patients undergoing endometrial biopsy at tikur anbesa specialized hospital, Addis Ababa, Ethiopia. BMC Infectious Diseases. 2018; 18(1):304. [DOI:10.1186/s12879- 018-3202-x] [PMID] [PMCID]
[9] Amin I, Idrees M, Awan Z, Shahid M, Afzal S, Hussain A. PCR could be a method of choice for identification of both pulmonary and extra-pulmonary tuberculosis. BMC Research Notes. 2011; 4:332. [DOI:10.1186/1756-0500-4-332] [PMID] [PMCID]
[10] Shah S, Miller A, Mastellone A, Kim K, Colaninno P, Hochstein L, D’Amato R. Rapid diagnosis of tuberculosis in various biopsy and body fluid specimens by the AMPLICOR mycobacterium tubercu- losis polymerase chain reaction test. Chest. 1998; 113(5):1190-4. [DOI:10.1378/chest.113.5.1190] [PMID]
[11] Sharma JB, Roy KK, Pushparaj M, Gupta N, Jain SK, Malhotra N, et al. Genital tuberculosis: An important cause of Asherman’s syndrome in India. Archives of Gynecology and Obstetrics. 2008; 277(1):37-41. [DOI:10.1007/s00404-007-0419-0] [PMID]
| Files | ||
| Issue | Vol 7 No 1 (2022): January-February | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i1.9637 | |
| Keywords | ||
| Tuberculosis Infertility Imaging Asherman syndrome | ||
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How to Cite
1.
Hajati A. Mis-Diagnosis of Genital Organ Tuberculosis Ending in a Severe Asherman Syndrome: A Case Report. CRCP. 2022;7(1):41-44.
