Genital Tuberculosis With Presentation of Spontaneous Abortion in a Patient With Miliary Tuberculosis

Chih-Wei Hsu ^{a, b}, Sheng-Chuan Hu ^a, Yung-Hsiang Hsu ^c, Song-Wei Liu ^a

^aDepartment of Emergency Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
^bInstitute of Medical Sciences, Tzu Chi University, Hualien, Taiwan
^cDepartment of Pathology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan

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Abstract

Tuberculosis (TB) is a major public health concern worldwide. In Taiwan, the annual mortality rate for TB is 3.4 per 100,000 people (783 deaths in 2007). TB primarily affects the lungs, but approximately one third of patients also demonstrate involvement of extrapulmonary areas such as the meninges, bones and genitourinary tract. Female genital TB is rarely seen in developed countries. The occurrence of genital TB is only 0.01% in Taiwan. We present here a rare case of miliary TB accompanied by endometrial spread with no known immunodeficiency.

Keywords

Genital tuberculosis; Miliary tuberculosis; Spontaneous abortion