Female genital tuberculosis: about 11 cases treated in Antananarivo (Madagascar)
Ravelosoa, E.; Randrianantoanina, F.; Rakotosalama, D.; Andrianampanalinarivo, R.; Rakotomalala, C.; Rasolofondraibe, A.; Breda, Y.; Rakotobe, P.
Bulletin de la Societe de Pathologie Exotique 100(1): 30-31
2007
ISSN/ISBN: 0037-9085 PMID: 17402691 Document Number: 199130
Results of a 5-year prospective study on genital tuberculosis, an uncommon localization, carried out in 11 pregnant women treated at the DAT-HIS of Antananarivo, Madagascar are presented. Clinical diagnosis is problematic, if not impossible, 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 could facilitate diagnosis and allow a more accurate assessment of the incidence of this aspect of tuberculosis infection. Genital tuberculosis compromises women's fertility. In this study, even though the tuberculosis was cured, none of the 11 women carried their pregnancy to delivery, because artificial fertilization is not feasible in Madagascar. It is suggested that screening of genital tuberculosis in women should be mandatory. Gynaecological problems such as menstrual cycle disorders, sterility, abdominal pain, ovarian cyst, ectopic pregnancy and spontaneous miscarriage should also be noted paraclinical investigations, especially in developing countries.