A 27-year-old, previously healthy Somali refugee presented with infertility. Cultures of endometrial tissue were positive for fully susceptible tuberculosis and she was diagnosed with genital tuberculosis. After 12 months of antituberculosis therapy, she attempted to become pregnant; however, use of in vitro fertilization and surrogate carrier probably will be needed given the degree of scar tissue present before treatment. Due to the increasing numbers of US-resettled refugees, physicians should consider genital tuberculosis in any refugee woman presenting with infertility or amenorrhea. © 2008 by The Southern Medical Association.

Amenorrhea Refugees Infertility Genital tuberculosis

differential diagnosis bacterial growth Diagnosis, Differential amenorrhea refugee developing country Follow-Up Studies follow up Tuberculosis, Female Genital Developing Countries human Refugees Mycobacterium tuberculosis female infertility nausea ethnology United States Humans treatment duration human tissue endometrium biopsy tuberculostatic agent Antitubercular Agents headache case report female Article drug withdrawal mother adult antibiotic therapy urogenital tuberculosis isoniazid Somalia thorax radiography Fertilization in Vitro Infertility, Female ethambutol rifampicin Physical Examination pyrazinamide