j:\งาน powerpoint and word\งานต๊อก\slide present\pp.fgtb\success preg in fgtb
TRANSCRIPT
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Successful pregnancySuccessful pregnancy
after treatmentafter treatment
female genital tuberculosisfemale genital tuberculosis ( BKK, Thailand ) ( BKK, Thailand ) 02 Aug. 201002 Aug. 2010
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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case reportcase report female genital TB female genital TB
• By : Dr. Viriya Lekprasert
• Thai Obstetrics and
Gynecologist Viriya Lekprasert, Obgyn, 18745morsutenare.page4.me/
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Thai female, 27 yr.
CC : Lt. Lower quadrant pain
with vagina D/C
PI : Had vaginitis 1 wk. ago and
failed oral medical treatmentViriya Lekprasert, Obgyn, 18745morsutenare.page4.me/
case report female genital TB
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case report FGTB
• PV. : PID was found (triad tenderness)
• Pt. denied for admission
• Few days later, she agreed to admit
• Treatment PID and PPD test was done on 16 February 2004, ppd test was neg.
Viriya Lekprasert, Obgyn, 18745morsutenare.page4.me/
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• 24 January 2005 • CC : metrorrhagia from December
– UPT negative– Progesterone challenge test negative– Blood for HCG , prolactin , TSH ,
E2 , PTT
case report female genital TB
Viriya Lekprasert, Obgyn, 18745morsutenare.page4.me
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case reportcase report female genital TB female genital TB
Estrogen + ProgesteroneEstrogen + Progesterone challenge test challenge test
ResultResult : Negative : Negative
Advice coc pills for 3 monthsAdvice coc pills for 3 months
Viriya Lekprasert, Obgyn, 18745morsutenare.page4.me/
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• 12 January 200612 January 2006
• CCCC : metrorrhagia with pelvic pain for : metrorrhagia with pelvic pain for one year one year
• ppd testppd test result “positive” result “positive”
• ImpressionImpression ; female genital TB ; female genital TB
case reportcase report female genital TB female genital TB
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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case reportcase report female genital TB female genital TB
Patient denied anti- TB drugPatient denied anti- TB drug
Internist adviced Internist adviced second ob – gyn. opinionsecond ob – gyn. opinion
• 17 April 2006, mother-in-law was 17 April 2006, mother-in-law was pulmonary TBpulmonary TB
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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Pt. received Pt. received hormonal treatmenthormonal treatment for for metrorrhagiametrorrhagia with second ob-gyn. with second ob-gyn. opinion about one yearopinion about one year
But couldn’t control normal cycle But couldn’t control normal cycle 19 April 200719 April 2007, , came back came back with with
metrorrhagia and pelvic painmetrorrhagia and pelvic pain
case reportcase report female genital TB female genital TB
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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case reportcase report female genital TB female genital TB
19 April 200719 April 2007, , came back came back with with metrorrhagia and pelvic painmetrorrhagia and pelvic pain
Culture D/CCulture D/C from uterine cavity for TB from uterine cavity for TB AFB stain D/CAFB stain D/C from uterine cavity from uterine cavity Hystero – salpingography was done Hystero – salpingography was done
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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case reportcase report female genital TB female genital TB
Culture D/CCulture D/C from uterine cavity for TB from uterine cavity for TB AFB stain D/CAFB stain D/C from uterine cavity from uterine cavity Hystero – salpingographyHystero – salpingography
** All result are ** All result are negativenegative
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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hystero - salpingographyhystero - salpingography
Normal hsytero – salpingography of patientNormal hsytero – salpingography of patient
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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case report female genital TB
• Patient accepted for admission for pelvic pain treatment
• and patient accepted anti-TB drug (INH, rifampicin and pyroidoxine) treatment
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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• Patient was well complianced for anti-TB drugs
• After anti-TB drugs with progesterone ;
• She had regular menstruation and still having pelvic pain, but decreased severity
case report female genital TB
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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case report female genital TB
• She was continued drugs for five months, then loss follow up for two months
• She came back to start cycle 5th again on 18 December 2007
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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28 April 2008, 28 April 2008, completed 9 cycles of completed 9 cycles of anti-TB drugsanti-TB drugs
LMP 12 March 2008, LMP 12 March 2008, missed period missed period about 6 wk.about 6 wk.
Transvaginal USG was done, Transvaginal USG was done, revealed revealed IUP 6 wk.IUP 6 wk.
case reportcase report female genital TB female genital TB
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/
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case reportcase report female genital TB female genital TB
Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/