Volume 16, Issue 9 (September 2018)                   IJRM 2018, 16(9): 557-562 | Back to browse issues page


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Chatterjee T, Kumar Basak A. Mycobacterium tuberculosis and non-tubercular mycobacterium infection in women with unexplained infertility from eastern India. IJRM 2018; 16 (9) :557-562
URL: http://ijrm.ir/article-1-1239-en.html
1- Suraksha Genomics (R & D Division of Suraksha Diagnostic), Salt Lake, Kolkata, India , ctridip@gmail.com
2- Department of Molecular Biology, Institute of Genetic Engineering, 30, Thakurhat Road, Kolkata, India
Abstract:   (3012 Views)
Background: Genital tuberculosis (GTB) is an important cause of female infertility, especially in developing countries. The positive results of polymerase chain reaction (PCR) in endometrial GTB in the absence of tubal damage raise the possibility of the detection of sub-clinical or latent disease, with doubtful benefits of treatment.
Objective: This study aims to evaluate the Mycobacterium tuberculosis (MTB) and Non-tubercular Mycobacterium (NTM) infection by using Real-PCR technique in the menstrual blood samples of 120 unexplained infertile women.
Materials and Methods: In this cross-sectional study, 120 infertile women with unexplained infertility aged 20-35 yr old and normal hysterosalpingography findings were taken. Menstrual blood in the first 12 hr of menstruation containing the endometrial tissues from each participant was tested for MTB and NTM by Real-Time PCR.
Results: Among the selected 120 patients, only two were found to be positive for MTB infection. All remaining participants were negative for MTB infection. All participants were negative for NTM infection at the endometrium.
Conclusion: Although, studies have indicated that PCR is a useful method in diagnosing early GTB disease in infertile women with no demonstrable evidence of tubal or endometrial involvement, our study showed that GTB is not the major problem in women with unexplained infertility
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References
1. Eftekhar M, Pourmasumi S, Sabeti P, Aflatoonian A, Sheikhha MH. Mycobacterium tuberculosis infection in women with unexplained infertility. Int J Reprod Biomed 2015; 13: 749-754. [DOI:10.29252/ijrm.13.12.749]
2. Kamath MS, Deepti MK. Unexplained infertility: An approach to diagnosis and management. Curr Med Issues 2016; 14: 94-100. [DOI:10.4103/0973-4651.194461]
3. Al eryani AA, Abdelrub AS, Al Haraz AH. Genital tuberculosis is common among females with tubal factor infertility: Observational study. Alexandria Journal of Medicine 2015; 51: 321-324. [DOI:10.1016/j.ajme.2014.11.004]
4. Arpitha VJ, Savitha C, Nagarathnamma R. Diagnosis of genital tuberculosis: correlation between polymerase chain reaction positivity and laparoscopic findings. Int J Reprod Contracept Obstet Gynecol 2016; 5: 3425-3432. [DOI:10.18203/2320-1770.ijrcog20163417]
5. Dam P, Shirazee HH, Goswami SK, Ghosh S, Ganesh A, Chaudhury K, et al. Role of latent genital tuberculosis in repeated IVF failure in the Indian clinical setting. Gynecol Obstet Invest 2006; 61: 223-227. [DOI:10.1159/000091498]
6. Sharma JB. Current diagnosis and management of female genital tuberculosis. J Obstet Gynaecol India 2015; 65: 362-371. [DOI:10.1007/s13224-015-0780-z]
7. Saraswaat P, Swarankar ML, Bhandari A, Soni RR. Detection of active female genital tuberoculosis by molecular method. Int J Pharma Bio Sci 2010; 1: 328-334.
8. Patil AD, Shinde SK, Sachdeva GM, Pasi AR, Chitlange SM, Chandhiok N, et al. Is testing of menstrual blood justifiable for diagfnosis of endometrial tuberoculosis among infertile women? Ind J Obstet Gynecol Res 2015; 2: 103-107.
9. Gupta S, Rishi S, Agrawal BM, Singh S, Goyal A. Comparative study of polymerase chain reaction of endometrial aspirate/ biopsy and menstrual blood in suspected cases of genital tuberculosis in females. IOSR J Dent Med Sci 2016; 15: 51-54.
10. Sindhoora B, Anjum N. Comparison of effectiveness of menstrual blood sample and endometrial biopsy sample for TB-PCR test for detection of tuberculous endometritis. J Cont Med A Dent 2016, 4: 19-23.
11. Devi CA, Dhanasekaran D, Suresh M, Rath Thajuddin N. Diagnostic value of real time PCR and associated bacterial and fungal infections in female genital tuberculosis. Biomed Pharmacol J 2010; 3: 73-79.
12. Malhotra B, Sinha p, Hooja S, Vyas L. Rapid diagnosis of genital tuberculosis by real-time polymerase chain reaction. J South Asian Federat Obstet Gynaecol 2012; 4: 39-42. [DOI:10.5005/jp-journals-10006-1170]
13. Gangania PS, Bisht D, Singh VA. Detection of mycobacterial infections (MTB & NTM) by different molecular, staining and culture techniques among infertile females. Microbiol Pathol 2016; 16: 25-32.
14. Sadeghi MR. Unexplained infertility, the controversial matter in management of infertile couples. J Reprod Infertil 2015; 16: 1-2.
15. Umoh AV, Gabriel MA. Genital tuberculosis with secondary infertility- a case report of successful treatment and subsequent livebirth in Uyo, Nigeria. J Med Med Sci 2011; 2: 839-842.
16. Goel G, Khatuja R, Radhakrishnan G, Agarwal R, Agarwal S, Kaur I. Role of newer methods of diagnosing genital tuberculosis in infertile women. Indian J Pathol Microbiol 2013; 56: 155-157. [DOI:10.4103/0377-4929.118670]
17. Mondal SK. Histopathologic analysis of female genital tuberculosis: A Fifteen-Year retrospective Study of 110 Cases in Eastern India. Turk Patoloji Derg 2013; 29: 41-45. [DOI:10.5146/tjpath.2013.01146]
18. Grace GA, Devaleenal DB, Natrajan M. Genital tuberculosis in females. Indian J Med Res 2017; 145: 425-436.
19. Chakraborty S, Chakraborty A, Talukder T, Mukherjee M, Chatterjee T. Prevalence of Mycobacterium tuberculosis strains isolated from both pulmonary and extra pulmonary samples and their resistance to rifampicin: a study from Kolkata and surrounding suburbs. J Tuberculos Res 2016; 4: 61-71. [DOI:10.4236/jtr.2016.42008]

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