A case of endometrial tuberculosis complicated by Pott’s spine with paraplegia
Keywords:
Tubercular endometritis, Pott’s spine, Non-caseating granuloma, Vaginal dischargeAbstract
Extra-pulmonary tuberculosis has shown an increasing trend in developing countries and accounts for 15-20% of total tuberculosis cases in India. Extra-pulmonary cases are usually diagnosed late due to vague and subtle signs & symptoms at a stage when major irreversible tissue damage had occurred. Tuberculosis is a chronic disease with infection remaining dormant for years in body to get activated whenever the immunity decreases. Spinal and cranial TB has the gravest manifestations, while the abdominal, female genital or pelvic TB poses a challenge because of lack of specific diagnostic tests. Here we are reporting a case of endometrial tuberculosis which was diagnosed very late, followed by treatment default and finally got complicated with Pott’s spine with paraplegia due to haematogenous spread. Timely intervention and anti-tubercular treatment improved the symptoms. It stresses on keeping the high suspicion of tuberculosis in unresponsive and persistent general symptoms.
References
Niblock AL. Recurrent neck abscesses due to cervical tuberculosis lymphadenopathy in elderly postmenopausal woman post splenectomy: a rare case report. J Med Case Rep. 2011;5(1):584.
Kajal B Punyashetty, Annand AS, Trupti Vyasrao. Tuberculous endometritis: a worrying recrudescence for fertility. Int J Biol Med Res. 2012;3(2):1708-11.
Vishnu Gopal M, Raj Baveja, Vatsala Somant. Tuberculous endometritis. J Obstet Gynaecol India. 1971;21(1-3):72-3.
Mukerjee K, Wagh KV, Agarwal S. Tubercular endometritis in primary sterility. J Obstet Gynaecol India. 1967;17:619.
Sathe A, Vaidya P, Deshmukh M, Montashow N. Endometrial tuberculosis. J Obstet Gynaecol India. 1979;29:199.
Mondal SK, Dutta TK. A 10 year clinic-pathological study of female genital tuberculosis and its impact on fertility. J Nepal Med Assoc. 2009 Jan-Mar;48(173):52-7.
Emil Novak, Edmund R. Novak, James Donald Woodruff. Granulomatous endometritis. In: Emil Novak, Edmund R. Novak, James Donald Woodruff, eds. Novak’s Gynaecological and Obstetric Pathology. 13th ed. Philadelphia: Saunders; 2002: 973-1067.
