Abstract |
This study was designed to test the utility of mRNA-based RT-PCR to detect viable bacilli, indicating active tubercular involvement, and DNA-PCR to detect present or past infection in the diagnosis of active female genital tuberculosis (TB) infection. A total of 200 subjects with complaints of infertility were enrolled in the study. Multiple sampling was done. One hundred and forty-three endometrial aspirate (EA), 94 peritoneal fluid/peritoneal washing (PF/PW) and six cornual biopsy (CB) specimens were collected for diagnosis using microscopy, culture, RT-PCR and DNA-PCR and results were compared with laparoscopic findings. RT-PCR and culture were concordant [positive in four (2.8%) EA specimens] signalling sampling from the site of active infection. Smear microscopy showed a poor detection rate while DNA-PCR showed high positivity. Sixty-one (44.85%) EA specimens, nine (9.57%) PF/PW specimens and two (33.33%) CB specimens were positive by DNA-PCR. Genital TB causing infertility (localized or secondary to TB elsewhere) can be picked up early by DNA-PCR, when it can be completely cured prior to the appearance of florid disease.
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Authors | Tanu Rana, Urvashi B Singh, Vidushi Kulshrestha, Amit Kaushik, Chhavi Porwal, Nutan Agarwal, Alka Kriplani |
Journal | Journal of medical microbiology
(J Med Microbiol)
Vol. 60
Issue Pt 4
Pg. 486-491
(Apr 2011)
ISSN: 1473-5644 [Electronic] England |
PMID | 21183595
(Publication Type: Comparative Study, Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- DNA, Bacterial
- RNA, Bacterial
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Topics |
- Adult
- Ascitic Fluid
(microbiology)
- Bacteriological Techniques
(methods)
- DNA, Bacterial
(genetics)
- Endometrium
(microbiology)
- Female
- Humans
- Laparoscopy
- Microbial Viability
- Microscopy
- Polymerase Chain Reaction
(methods)
- RNA, Bacterial
(genetics)
- Tuberculosis, Female Genital
(diagnosis)
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