[Postmenopausal endometrial tuberculosis. A clinical case]

Abstract

Post-menopausal tuberculosis of the female genital tract is an uncommon condition that has received relatively little attention in the literature. The case described by the authors is about a sixty year old woman whose condition was brought to attention by leukorrhea and abnormal bleeding associated with a smear test suggesting CIN 1. An endometrial aspiration biopsy revealed necrotic debris with focal granulomata and numerous acid-fast bacilli. Fungal stains were negative while mycobacterium tuberculosis was found. After three months of combination antimycobacterial treatment, she underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy followed by six months of post-operative drug therapy.