TITLE:
Isolated Cervical Tuberculosis: A Case Report from the Koudougou Regional Hospital in Burkina Faso
AUTHORS:
Aly Coulibaly, Mahaman Laouali Ali Moussa, Salif Pare, Dembelé Sitapha, Adama Traore, Mohamed Lamine Zoure, Alain Gautier Sawadogo, Dramane Wanda, Martial Ouédraogo
KEYWORDS:
Tuberculosis, Cervix, Genital, Cervical, Burkina Faso
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.6,
June
15,
2026
ABSTRACT: Introduction: Genital tuberculosis in women accounts for approximately 5% - 10% of extrapulmonary tuberculosis cases. Cervical tuberculosis is rare, accounting for less than 1% of genital tuberculosis cases. Case Report: A 35-year-old female shopkeeper, a nulliparous and nulligravid housewife for 18 years, with no history of tuberculosis or known exposure to tuberculosis. She presented for consultation with postcoital metrorrhagia and progressive weight loss in a chronic, afebrile setting. Clinical Examination: hypertrophied cervix, ulcerated and nodular, bleeding on contact; clinical suspicion of cervical cancer. Microscopic examination of the cervical biopsy revealed a focally ulcerated cervical mucosa containing numerous inflammatory granulomas composed of lymphocytes, epithelioid cells, and giant cells surrounded by a lymphocytic halo, with no evidence of tumor proliferation. A diagnosis of cervical tuberculosis was made. Treatment: 2RHZE/4RH. Conclusion: Cervical tuberculosis is rare but should be considered in the presence of any atypical cervical lesion in an endemic area. Biopsy remains essential to avoid unnecessary surgery.