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Endometritis due to Mycobacterium tuberculosis.

The patient was a 39-year-old white, somewhat obese, married woman from a rural area in Nova Scotia who had never been pregnant. She had no known contact with tuberculosis. She had first presented in 1968, complaining of long menses, periods of amenorrhea, menorrhagia, dysmenorrhea, lower back pain and infertility. A physical examination gave normal results. An x-ray film of the chest was reported as not showing any evidence of disease. Dilatation and curettage was performed, and the endometrial curettings were reported as showing estrogenic change. Her symptoms continued, and she was seen as an outpatient several times over the next 10 years. During this period several x-ray films of her chest, unfortunately no longer available, were reported as showing no evidence of disease. The patient was admitted to hospital in 1979 with a diagnosis of recurrent tonsillitis. Tonsillectomy and the postoperative course were uneventful. The tonsil tissue was reported as showing mixed chronic peritonsillar inflammation. Again, an x-ray film of the chest was reported as showing no evidence of disease. The patient was again admitted in 1984, complaining of menorrhagia, dysmenorrhea, midcycle spotting and lower back aching. A physical examination gave normal results. A gynecologic examination showed her uterus to be retroverted but no other significant findings. An x-ray film of the