Module: Foul Smelling Discharge

Topic: Pelvic Tuberculosis

PRINCIPLES OF MANAGEMENT

Treatment of pelvic tuberculosis is medical.

Initial Therapy: Five drugs

Multidrug-resistant (MDR) Tuberculosis is an infection from a strain of M. Tuberculosis that

is resistant to two or more agents, including Isoniazid.

Mortality rate of HIV-negative patients who develop MDR infection is 80%.

CDC Recommendation:

o Start on Multidrug Regimen

Until culture results yield specific sensitivity

Medications may decrease to two or three

o Infections from MDR strains are usually kept on a five-drug regimen

Operative Therapy

o Reserved for women with:

Persistent pelvic masses

Resistant organisms

Age older than 40 years

Endometrial cultures remain positive

SEQUELA

Infertility is the major sequela

Occasinalyy a woman will become pregnant after medical therapy