Case report: Infertility and pregnancy loss due to Intra-uterine Tuberculosis.

Abstract

Tuberculosis (TB) is a disease with a high burden, with most patients in low and middle income countries (LMIC). In Western countries however, this disease is rare, but with the increasing number of migrants it becomes more relevant. Especially in women with fertility issues, TB is not the most likely diagnosis and therefore difficult to discover and treat. If TB is not detected at an early stage, it can have major consequences for fertility and pregnancy outcomes. Screening should be suggested in women originated from high endemic countries with unexplained fertility loss, or during first trimester screening. QuantiFERON testing and PCR sampling for TB should be the golden standard. This case report describes fertility issues and an immature delivery in a young woman caused by extrapulmonary TB in the genital tract. With this case report, we hope to draw attention to this disease so that early detection can take place and serious outcome can be prevented.