Mann C, Maki G, Zervos M, Ravishankar N (2019) Diagnosing Genitourinary Tuberculosis: A Case Report. Clin Med Rev Case Rep 6:268.


© 2019 Mann C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2378-3656/1410268

Diagnosing Genitourinary Tuberculosis: A Case Report

Chitsimran Mann1, Gina Maki, DO2, Marcus Zervos, MD2,3 and Nidhi Ravishankar1*

1Department of Internal Medicine, Windsor University School of Medicine, USA

2Department of Infectious Diseases, Henry Ford Health System, Detroit, Michigan, USA

3Wayne State University School of Medicine, Detroit, MI, USA


Genitourinary Tuberculosis (GUTB) is a common manifestation of tuberculosis and usually results from the reactivation of old, dormant tuberculous diseases by pathogens of the Mycobacterium tuberculosis complex. Most often, GUTB has a varied presentation ranging from irritative voiding symptoms to renal failure. Due to this varied presentation, diagnosis of GUTB is often very difficult. We present a case of a reproductive-age female with asymptomatic infertility. Many diagnostic measures failed to identify the root cause of her infertility, however the positive PPD test was the first indicator of a possible reactivation of tuberculosis and histopathological examination of the tissue confirmed the diagnosis. We describe the definitive measure used to diagnose GUTB and the improvement of her infertility after anti-tubercular medications.