title: Flare-up of genital tuberculosis following endometrial aspiration in a patient of generalized miliary tuberculosis.
abstract: BACKGROUND
  Genital tuberculosis is often neglected by health-care providers, but is an important cause of significant morbidity for the affected women.
  
  
  METHODS
  We report a rare case of tuberculosis (TB) flare in a 28-year-old nulliparous woman following endometrial aspiration (EA), which drained 30 ml pus. Following this, she developed high-grade fever with pain abdomen, guarding and rigidity. PCR was positive for mycobacterium and histopathology showed necrotizing granulomatous endometritis. She also showed features of genitourinary TB and chronic tubercular meningitis and was started on antitubercular therapy.
  
  
  CONCLUSIONS
  To conclude, EA requires concern and a higher precision in the diagnosis of this insidious disease that primarily necessitates a clinical awareness of this serious health problem, to prevent such flare-up of TB. The clinician should be aware that isolation of TB requires special methods and this diagnosis should be considered while dealing with patients born in countries with high prevalence of TB.
authors.affiliation: Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Vatsla
authors.initials: V
authors.lastname: Dadhwal
authors.forename: Nupur
authors.initials: N
authors.lastname: Gupta
authors.forename: Anupama
authors.initials: A
authors.lastname: Bahadur
authors.forename: Suneeta
authors.initials: S
authors.lastname: Mittal
mesh_terms: D000328:Adult; D004322:Drainage / Q000009:adverse effects; D004716:Endometritis / Q000175:diagnosis / Q000382:microbiology; D004717:Endometrium; D005260:Female; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D012008:Recurrence; D014384:Tuberculosis, Female Genital / Q000175:diagnosis* / Q000382:microbiology; D014391:Tuberculosis, Miliary / Q000175:diagnosis*; D014591:Uterine Diseases / Q000175:diagnosis* / Q000382:microbiology