title: Diagnosis of pelvic tuberculosis in a patient with tubal infertility.
abstract: OBJECTIVE
  To describe a case of pelvic tuberculosis presenting as primary infertility and discuss the various diagnostic modalities.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Academic reproductive medicine center.
  
  
  METHODS
  A 28-year-old nulliparous Indian immigrant presenting with primary infertility and known tubal pathology.
  
  
  METHODS
  Laparoscopic bilateral salpingectomy and adhesiolysis and diagnostic endometrial sampling.
  
  
  METHODS
  Acid-fast bacilli were obtained on polymerase chain reaction and culture of endometrial sample.
  
  
  RESULTS
  The patient was diagnosed with pelvic tuberculosis and treated with a directly observed multidrug regimen.
  
  
  CONCLUSIONS
  Tuberculosis is an important cause of gynecologic morbidity and should be considered in the appropriate patients.
authors.affiliation: Department of Obstetrics and Gynecology, Duke University Hospital, Durham, North Carolina 27713, USA. john.crochet@duke.edu
authors.forename: John R
authors.initials: JR
authors.lastname: Crochet
authors.forename: Kristina C
authors.initials: KC
authors.lastname: Hawkins
authors.forename: David P
authors.initials: DP
authors.lastname: Holland
authors.forename: Susannah D
authors.initials: SD
authors.lastname: Copland
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D004717:Endometrium / Q000382:microbiology / Q000473:pathology; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D010535:Laparoscopy; D010388:Pelvis / Q000382:microbiology; D014395:Peritonitis, Tuberculous / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents