A rare case report of tuberculosis endometritis in a private hospital Dar es salaam, Tanzania

Willbroad Kyejo, Brenda Moshi, Daudi Gidion, Muzdalifat Abeid, Samina Somji, Munawar Kaguta, Miriam Mgonja

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Tuberculosis endometritis is a pathological diagnosis and has been always over shadowed by pelvic tuberculosis. It is usually asymptomatic, but patients could complain of menstrual irregularity and per vaginal discharge. We report a case of a 37-year-old female who presented with per vaginal discharge for 2 years. Histopathology showed numerous caseating and non-caseating granulomas with plasma cells, Ziehl–Neelsen stain for acid fast bacillus is positive, and she was initiated on anti-tuberculosis treatment. On subsequent follow-up visits, patient was doing well with complete resolution of symptoms. Genital tuberculosis is usually caused by reactivation of organism from systemic distribution during primary infection. It is estimated that approximately 8 million cases of tuberculosis occur worldwide every year, 95% of which are from developing countries. Tuberculosis usually affects the lung but about one-third of patients have extra pulmonary involvement which include female genitals organs and other organs. Genital tuberculosis is an indolent infection: its common symptoms include pelvic pain, vaginal bleeding, amenorrhea, vaginal discharge, and infertility. Most of the patients respond quickly after initiating anti-tuberculosis medications. We recommend that all patients with a positive Ziehl–Neelsen stain and menstrual abnormalities undergo aggressive evaluation for genital tuberculosis.

Original languageEnglish
JournalSAGE Open Medical Case Reports
Publication statusPublished - 1 Jan 2023
Externally publishedYes


  • Tuberculosis endometritis
  • female genital tuberculosis
  • menstrual irregularity


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