Tuberculus Vulvitis presentations, diagnosis and management

Case report


Fawzia O EL-Arbi

Department of Gynaecology & Obstetrics, AI-Jamahiriya Hospital, Benghazi- Libya

JMJ Vol.4 No. 3 (Winter) 2005: 231-232


Scrofuloderma: is the active form of tuberculosis of the skin consisting of a diffuse infiltration with tubercle bacilli cells .
It begins as a bluish-red swollen, painless area, usually situated over broken-down tuberculosis glands. When the skin breaks down an ulcer is formed with irregular undermined bluish edges. This 48 years old Libyan widow, housewife was referred from EI-Wahda Hospital (Derna) with huge vulval swelling associated with foul smelling discharges not responding to treatment. After complete history and physical examination the differential diagnosis were venereal disease or Tuberculosis or infected tumour. Diagnosis of such cases is usually late and depends on histopathological finding. In this case the diagnosis of tuberculosis was based on the clinical presentation and past history of tuberculosis and confirmed later on by histopathological finding of excisional biopsy. Antituberculosis drugs used and gave a good results. Details on physical, surgical, histopathological finding and management is presented and discussed.

Keywords: Tuberculosis, Vulval infection, Excisional biopsy, Valval swelling, Vaginal discharges, Antituberculasis drugs