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Postmenopausal genital tuberculosis, especially tuberculosis of cervix, is rare. We present a case of a postmenopausal woman presenting with multiple cranial lesions and evidence of a silent granulomatous pathology in the cervix.
Case report
A 52 year old woman was admitted with complaints of increasing headaches and generalised weakness for the past 3 months. There were no other neurological symptoms and she denied any history of fever, cough, diarrhoea, bone pains, vaginal discharge, bleeding, dyspareunia, abdominal discomfort, or weight loss. She was postmenopausal for 2 years with a normal menstrual history previously. There was no history of extramarital sexual contacts or any venereal disease in the patient or her spouse. Examination of cardiovascular, chest, abdomen, and nervous system was unremarkable. Breast examination was normal. Gynaecological examination revealed an abnormal cervix with a small …
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