Amenorrhea in a Patient with Pulmonary Tuberculosis

一位肺結核病人的閉經症

陳又誠(Yu-Cheng Chen) ； 王振源(Jann-Yuan Wang)

《胸腔醫學》 30卷5期 (2015/10) Pp. 321-325

摘要

經期異常可以發生在有肺結核但沒有生殖器結核病的婦女，但其與閉經症之間的關聯性並未明確。我們報告一位22歲的婦女在接受肺結核治療前及治療中罹患次發性閉經症之後自然痊癒。本案例說明醫師在對生育年齡的婦女治療肺結核時，需留意其月經問題。為防止永久性不孕症的發生，婦產科醫師的諮詢可能是必要的。

關鍵字

不孕症 ； 月經 ； 結合分枝桿菌 ； 次發性閉經症 ； 結核

並列摘要

Menstrual abnormalities may occur in women with pulmonary tuberculosis (TB). The association between non-genital TB and amenorrhea is not well understood. We present the case of a 22-year-old unmarried woman who suffered from secondary amenorrhea before and during anti-TB treatment, and who recovered spontaneously thereafter. This case demonstrates that gynecologists should always consider pulmonary TB as a possibility in women presenting with menstruation abnormality in a TB endemic area, and physicians should pay attention to menstruation issues when treating women with TB who are of reproductive age. Gynecologist consultation may be necessary in order to prevent permanent infertility.

並列關鍵字

infertility ； menstruation ； Mycobacterium tuberculosis ； secondary amenorrhea ； tuberculosis