Vaginal tuberculosis revealed by prolonged fever ina woman immunocompromised by HIV at Cotonou, Benin.

The case of a 53 years old patient, immunocompromised by HIV, hospitalized with a prolonged fever

Abstract

Vaginal tuberculosis is exceptional and under-diagnosed in this region. The authors report the case of a patient of 53 years old, immunocompromised by HIV, hospitalized in the service for poor general condition in a context of prolonged fever. The interview and physical examination had found the following: chronic cougher in the entourage, multiple sexual partners and persistent leucorrhea. Mycobacterium tuberculosis was found in leucorrhea at direct microscopic examination. HIV serology was positive for HIV-1; the rate of CD4 cell count was 22 cells/μL. The diagnosis of vaginal tuberculosis in severe immunocompromised HIV was selected. TB treatment was established and antiretroviral therapy started two weeks later. The outcome was quickly favorable after 6 months of treatment. The patient was declared cured of TB. So, in a patient immunosuppressed HIV, any persistent purulent discharge even vaginal, must do search TB.

This research was supported by the UK Department for International Development’s Operational Research Capacity Building Programme led by the International Union Against TB and Lung Disease (The Union)

Citation

Zannou, Marcel; Azon-Kouanou, Angèle; Anthelme Agbodande, Kuessi; Ade, Serge; Attinsounon, Cossi Angelo; Sèhonou, Jean; DTK Prudencio, Roberto; Adè, Gabriel; Houngbé, Fabien.(2015). Vaginal tuberculosis revealed by prolonged fever in a woman immunocompromised by HIV at Cotonou, Benin. Revue malienne d’infectiologie et de microbiologie. 6. 19 -21.

Vaginal tuberculosis revealed by prolonged fever ina woman immunocompromised by HIV at Cotonou, Benin

Published 31 August 2015