INFERTILITY CASES IN PULMONARY MEDICINE DEPARTMENTS

Year 2018, Volume: 32 Issue: 3, 251 - 258, 15.12.2018

Sibel Doruk , Kemal Can Tertemiz , Sibel Keçeci

Abstract

Herein, we present two cases of infertility who
were evaluated by urologists and gynecologists. The first case was a
33-year-old man with recurrent sinusitis and bronchiectasis since 10 years old,
and he was evaluated by an urologist due to infertility. He had cough, wheeze,
and sputum. On his physical examination, bilateral crackles and rhonchi were
detected. Bilateral diffuse bronchiectasis and hyperinflation were seen at
thoracic tomography, and changes consistent with chronic sinusitis were shown
on paranasal sinus tomography. He was treated with azithromycin, inhaled
tobramycin, and dornase-alpha. His complaints improved and no bacterium was
detected in the sputum culture. Our second case was a 28-year-old woman.
Granulomatous salpingitis was identified in the histopathological examination
of the excised hidropic left tuba. She had night sweats and pelvic pain. Bilateral
fibrotic apical parenchymal changes were seen in thoracic tomography. Genital
tuberculosis was diagnosed, and she received antituberculosis treatment. At two
months, night sweat and groin pain resolved.

Keywords

Genital tuberculosis, cystic fibrosis, infertility

Göğüs hastalıkları kliniklerinde değerlendirilen infertilite olguları

Abstract

İnfertilite nedeni ile üroloji ve kadın
doğum klinikleri tarafından takip edilen iki farklı olgunun sunulması
amaçlanmıştır. İlk olgu 10 yaşından beri bronşektazi ve tekrarlayan sinüziti
olan, infertilite tedavisi gören 33 yaşında erkek hasta idi. Öksürük, hırıltı
ve balgam yakınması olan hastanın fizik bakısında yaygın raller ve ronküsler
saptandı. Toraks tomografisinde her iki akciğerde yaygın bronşektazi alanları,
havalanma artışı, paranazal sinüs tomografisinde sinüzit ile uyumlu
değişiklikler izlendi. İnhale tobramisin ve dornaz-alfa ile azitromisin
başlandı. Yakınmaları gerileyen hastanın balgam kültüründe herhangi bir üreme
saptanmadı. İkinci olgu yirmi sekiz yaşında kadın hasta idi. Eksize edilen sol
hidropik tuba dokusunun histopatolojik incelemesinde granülomatoz salpenjit
izlenmişti. Gece terlemesi ve kasıklarda ağrı yakınması vardı. Kontrastlı
toraks tomografisinde bilateral apikal sekel fibrotik değişiklikler izlendi.
Genital tüberküloz tanısı konulan hastanın antitüberküloz tedavinin ikinci ayında
gece terlemesi ve kasıklarda ağrı yakınması geriledi.

Keywords

Genital tüberkuloz, kistik fibrozis, infertilite

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