Journal of Pure and Applied MicrobiologyVol. 9 No. 1

Evaluation of Nested Polymerase Chain Reaction Technique in the Diagnosis of Female Genital TB in Endometrial Samples

S. Kanojia*, H. Singh, R. Gwal, S. Agarwal and V. Mishra1

R&D Division Kilpest India Ltd, DSIR approved, India. 1Department of Microbiology, Saifia Science College, Bhopal - 462001, India.

Received on 06 April 2014 and accepted on 19 August 2014

 

ABSTRACT

Mycobacterium tuberculosis has been identified as the etiological agent of 21st century?s epidemic tuberculosis. India is the second-most populous country in the world and one fourth of the global incident TB cases occur in India annually. Genital Tuberculosis is among the top three killers of the women of reproductive age after HIV/AIDS and maternal cause. Genital tuberculosis is an upcoming chronic disease which often has low-grade symptomatology, and with very few specific complaints. The objective of this study was to evaluate the efficacy of PCR technique, in the diagnosis of GTB in female infertility. A case study was done at central India, in which Endometrial biopsies obtained from women suffering from infertility were subjected to PCR based method for diagnosis of genital TB resulting in 10.8% of positivity. Our studies concluded that Genital tuberculosis is difficult to diagnose due to restricted use of investigations and limited use of invasive procedures like pathological biopsy for extra-pulmonary TB, and therefore molecular tests like PCR can provide high sensitive and more rapid opportunity to identify Mycobacterium tuberculosis as compared to conventional techniques which are time consuming. Also genital TB can be linked with the fallopian tubes and, together with endometrial involvement, may cause infertility in patients.

Keywords : GTB (Genital Tuberculosis), ET (Endometrial Tissue), BSL-II (Biosafety Level 2).