clove and Tuberculosis--Female-Genital

A 5 year prospective study on genital tuberculosis, a rather uncommon localization, has been undertaken in 11 women treated at the DAT-HIS of Antananarivo, Madagascar Clinical diagnosis is problematic, if not unfeasible, due to the polymorphism of genital tuberculosis in women. Only histological and bacteriological examinations are, so far, confirmatory In the future, recourse to polymerase chain reaction will facilitate diagnosis and will allow a more accurate assessment of the incidence of this aspect of tuberculosis infection. Genital tuberculosis compromises women's fertility Even though the tuberculosis is cured, none of the 11 women of our research had carried their pregnancy to delivery, because artificial fertilization is not feasible here in Madagascar Screening of woman genital tuberculosis should be mandatory as regards gynaecological problems such as menstrual cycle disorders, sterility, abdominal pain, cyst of ovary ectopic pregnancy, spontaneous miscarriage in paraclinical investigations, especially in developing countries.

Topics: Abortion, Spontaneous; Adult; Antitubercular Agents; Female; Humans; Infertility, Female; Madagascar; Menstruation Disturbances; Pelvic Pain; Prospective Studies; Tuberculosis, Female Genital; Uterine Cervicitis

Female genital tuberculosis is relatively frequent in developing countries. Most cases occur in young women of childbearing age. The most common locations are the tubes, endometrium, and ovaries. Bartholin gland involvement is rare. The purpose of this report is to present a case of Bartholin gland tuberculosis in a 50 year-old woman and to describe the special epidemiological, clinical and therapeutic features associated with this location. Bartholinitis develops insidiously until spontaneous fistula formation. The lesion then gradually assumes a vegetative appearance that persists despite antibiotic treatment. Diagnosis requires biopsy findings demonstrating the presence of granulomatous tissue with caseous necrosis. Patients respond favorably to specific medical treatment. The recent spread of human immunodeficiency virus has increased the need to continue and improve efforts to control turberculosis particularly in endemic zones.

Topics: Bartholin's Glands; Biopsy; Diagnosis, Differential; Female; Humans; Madagascar; Middle Aged; Necrosis; Tuberculosis, Female Genital