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Caseating necrosis in cervical tuberculosis

Published:January 15, 2020DOI:https://doi.org/10.1016/j.ajog.2020.01.015
      A 60-year-old postmenopausal woman presented with the complaint of generalized fatigue and body ache since 5 months. She had attained menopause at the age of 55 years. She denied any history of vaginal discharge or postmenopausal bleeding, and was prescribed calcium and multivitamins while being referred from one general practitioner to another. She was finally referred to the gynecology clinic for suspected menopausal symptoms. We did a speculum examination, which showed the cervix and vagina replaced by a hard matted mass (Figure). There was no bleeding, discharge, or tenderness. Biopsy from this mass showed granulomatous inflammation, positive for acid-fast bacilli. We started her on antitubercular therapy for 6 months, after which her symptoms resolved.
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      FigureHard matted mass discovered per speculum examination
      Davis. Caseating necrosis in cervical tuberculosis. Am J Obstet Gynecol 2020.
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