Primary Ovarian Tuberculosis: A Case Report with Unusual Clinical Presentation

Tuberculosis (TB) is a significant global health issue with India accounting for about 25% of the global TB burden. While TB primarily impacts the lungs, extrapulmonary cases are also common, particularly female genital TB (GTB) among younger patients accounting for about 10%-15% of all TB infections. Isolated ovarian TB is a very rare form of extrapulmonary TB that usually presents with atypical symptoms. It presents a diagnostic challenge pertaining to its clinical presentation which is often misleading and mimics ovarian malignancy. Even though TB is curable and preventable, GTB poses a significant risk of infertility in women of reproductive age highlighting the need of screening in areas with a high prevalence of TB.