Diagnosis of pelvic tuberculosis in a patient with tubal infertility.
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.
Crochet
John R
JR
Department of Obstetrics and Gynecology, Duke University Hospital, Durham, North Carolina 27713, USA. john.crochet@duke.edu
Hawkins
Kristina C
KC
Holland
David P
DP
Copland
Susannah D
SD
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
D000995:Antitubercular Agents