Summary:
A married women of 30 years, mother of one child,
housewife was referred to out patient department of Khulna
Medical College Hospital with history of blood stained
vaginal discharge, secondary amenorrhoea for 3 years and
evening rise of temperature and anorexia for 3 months. On
speculum examination, cervix was oedematous, bright red
in colour with papillary growth which bleeds on touch. She
also had bilateral excavated lesion at the lowest part of the
vagina close to the introitus which was red in colour with
undermined edge. Visual inspection aided by acetic acid
(VIA) was positive. Colposcopy guided biopsy was taken
from unhealthy areas. There was extensive mottling on
chest X-ary. She had high ESR, AFB+ve on sputum culture.
The patient was diagnosed as a case of active pulmonary