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Vol. 53. Issue 7.
Pages 397 (July 2017)
Vol. 53. Issue 7.
Pages 397 (July 2017)
Clinical Image
DOI: 10.1016/j.arbr.2017.05.003
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Simultaneous Miliary and Genital Tuberculosis
Tuberculosis miliar y genital simultáneas
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María Montes Ruiz-Cabelloa,
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marimont1315@hotmail.com

Corresponding author.
, Emilio Guirao Arrabala, Leonardo Mauro Aisa Denarosob
a Unidad de Medicina Interna, Hospital La Inmaculada, Huércal-Overa, Almería, Spain
b Unidad de Ginecología, Hospital La Inmaculada, Huércal-Overa, Almería, Spain
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A 29-year-old woman, native of Bolivia, presented with a progressive clinical syndrome of low-grade fever, dry cough, and dyspnea on exertion. She also reported a 3-month history of abdominal pain and leukorrhea after therapeutic abortion, which had not improved despite the administration of targeted antibiotic therapy with ciprofloxacin when Escherichia coli was cultured from the vaginal discharge. Chest radiograph and computed tomography (CT) were performed showing extensive bilateral micronodular involvement (Fig. 1A and B). Abdominal CT revealed tubular parauterine cystic images with fatty peripheral edema and lamina propria with free fluid consistent with salpingitis (Fig. 1C). Mantoux testing showed no induration at all, but sputum smear and Löwenstein medium cultures of sputum samples and vaginal discharge were positive for Mycobacterium tuberculosis.

Fig. 1.

(A) Standard chest radiograph. (B) Chest CT sagittal slice. (C) Pelvis CT pelvic slice.

(0.12MB).

The coexistence of genital and miliary tuberculosis (TB) has been previously reported.1 Up to 8%–15% of women with pulmonary tuberculosis have genital TB.2 Genital TB is a known cause of sterility and abortions, as occurred in our patient. The patient probably had previous genital TB, and the curettage led to hematogenous spread, resulting in secondary miliary TB.

References
[1]
V. Alfaro, R. Luque, M.L. Miranda, R. Terrones.
Fiebre de origen desconocido en una gestante de 13 semanas No disponible.
Enferm Infecc Microbiol Clin, 26 (2016), pp. 473-474
[2]
I.K. Neonakis, D.A. Spandidos, E. Petinaki.
Female genital tuberculosis: a review.
Scand J Infect Dis, 43 (2011), pp. 564-572

Please cite this article as: Montes Ruiz-Cabello M, Guirao Arrabal E, Aisa Denaroso LM. Tuberculosis miliar y genital simultáneas. Arch Bronconeumol. 2017;53:397.

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