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2000
Volume 25, Issue 6
  • ISSN: 1871-5265
  • E-ISSN: 2212-3989

Abstract

Background

Both tuberculosis and Methicillin-Resistant (MRSA) are known to be notorious for causing fistulas due to their characteristics of persistent, difficult-to-treat infections that lead to chronic inflammation, abscess formation, and tissue necrosis. There are several case reports highlighting the invasiveness and potential for fistula formation associated with both tuberculosis and MRSA infections independently, but to the best of our knowledge, this is the first case of a utero-cutaneous fistula caused by chronic infection due to MRSA, superadded on genital tuberculosis.

Case Presentation

A 35-year-old female, P3L3, visited the gynaecology outpatient department nine months after her last caesarean section with the complaint of severe pain and blood discharge from the transverse supra-pubic scar during menstruation. On evaluation, she was found to be chronically infected with MRSA and have genital tuberculosis only after histopathologic examination of the fistulous tract and tubo-ovarian abscess.

Conclusion

This case highlights the importance of considering genital tuberculosis in patients with atypical or refractory post-surgical complications and emphasizes the need for a thorough and multidisciplinary approach to its management.

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2025-01-31
2025-10-18

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/content/journals/iddt/10.2174/0118715265350486250102101626
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Diagnosis of Genital Tuberculosis Unveiled by Utero-Cutaneous Fistula and Superimposed MRSA Infection: A Case Report
Infect. Disord. Drug Targets 25, e18715265350486 (2025); https://doi.org/10.2174/0118715265350486250102101626
/content/journals/iddt/10.2174/0118715265350486250102101626
/content/journals/iddt/10.2174/0118715265350486250102101626
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  • Article Type:     Case Report
Keyword(s): complication of caesarean section; genital tuberculosis; methicillin-resistant Staphylococcus aureus; scar endometriosis; tubo-ovarian abscess; Uterocutaneous fistula

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