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Perianal disease of tuberculous origin

Report of a case and review of the literature

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: A case of anal tuberculosis in an otherwise asymptomatic patient with bleeding anal ulcers is presented. The clinical features of this entity and the problems in differential diagnosis between anal infectiousvs. inflammatory diseases are discussed. METHODS: The management and outcome of the case of an adult patient who presented with perianal ulcers is described. RESULTS: On a three-drug antituberculous regimen, symptoms abated, radiographic infiltrates improved, and perianal ulcers healed. CONCLUSION: Anal tuberculosis is an extremely rare disease. A tuberculous origin must be considered when the cause of perianal ulcers is unclear to avoid undesirable delays in the diagnosis and treatment of this disease.

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References

  1. Raviglione MC, Snider DE, Kochi A. Global epidemiology of tuberculosis: morbidity and mortality of a worldwide epidemic. JAMA 1995;273:220–6.

    Article  PubMed  Google Scholar 

  2. Ahlberg J, Bergstrand T, Holmström B,et al. Anal tuberculosis: a report of two cases. Acta Chir Scand 1980;500(Suppl):45–7.

    Google Scholar 

  3. Dolin PJ, Raviglione MC, Kochi A. Global tuberculosis incidence and mortality during 1990–2000. Bull World Health Organ 1994;72:213–20.

    PubMed  Google Scholar 

  4. Mehta JB, Dutt A, Harvill L, Mathews KM. Epidemiology of extrapulmonary tuberculosis: a comparative analysis with pre-AIDS era. Chest 1991;99:1134–8.

    PubMed  Google Scholar 

  5. Aktogu S, Yorgancioglu A, Cirak K, Köse T, Dereli SM. Clinical spectrum of pulmonary and pleural tuberculosis: a report of 5,480 cases. Eur Respir J 1996;9:2031–5.

    Article  PubMed  Google Scholar 

  6. Sbarbaro JA. Tuberculosis in the 1990s. Epidemiology and therapeutic challenge. Chest 1995;108:58s-62s.

    PubMed  Google Scholar 

  7. Harland RW, Varkey B. Anal tuberculosis: report of two cases and literature review. Am J Gastroenterol 1992;87:1488–91.

    PubMed  Google Scholar 

  8. Betlloch I, Bañuls J, Sevila A,et al. Perianal tuberculosis. Int J Dermatol 1994;33:270–1.

    PubMed  Google Scholar 

  9. O'Donohoe MK, Waldron RP, O'Malley E. Miliary tuberculosis presenting as an acute perianal abscess: report of a case. Dis Colon Rectum 1987;30:697–8.

    PubMed  Google Scholar 

  10. Alvarez JL, Gutiérrez VM, Del Riego R,et al. Ulceras perianales de origen tuberculoso. Aportación de tres nuevos casos. Rev Esp Enferm Digest 1992;81:46–8.

    Google Scholar 

  11. Caminero Luna JA, Casal Román M, Ausina Ruiz V, Pina Gutiérrez JM, Sauret Valet J. Diagnóstico de la tuberculosis. Arch Bronconeumol 1996;32:85–99.

    PubMed  Google Scholar 

  12. Whalen TV, Kovalcik PJ, Old WL Jr. Tuberculous anal ulcer. Dis Colon Rectum 1980;23:54–5.

    PubMed  Google Scholar 

  13. Borki K, Saissy JM, Benomar S. Anorectal tuberculosis disclosed by hemorrhoidal thrombosis. Med Trop (Mars) 1986;1:75–7.

    Google Scholar 

  14. Ani AN, Solanke TF. Anal fistula: a review of 82 cases. Dis Colon Rectum 1976;19:51–5.

    PubMed  Google Scholar 

  15. Shukla HS, Gupta SC, Singh G, Singh PA. Tubercular fistula in ano. Br J Surg 1988;75:38–9.

    PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. the Department of Pathology, Hospital General de Elche, Alicante, Spain

    A. Teruel M.D.

  2. the Department of Gastroenterology Services, Hospital General de Elche, Alicante, Spain

    D. Reyes M.D.

  3. the Department of Pneumology Service, Hospital de San Juan, Alicante, Spain

    J. M. Arriero M.D.

  4. Servicio de Cirugía General, Hospital General Universitario Elche, Partida Huertos y Molinos s/n, 03202, Elche (Alicante), Spain

    F. Candela M.D., P. Serrano M.D. & R. Calpena M.D.

Authors
  1. F. Candela M.D.
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  2. P. Serrano M.D.
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  3. J. M. Arriero M.D.
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  4. A. Teruel M.D.
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  5. D. Reyes M.D.
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  6. R. Calpena M.D.
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Candela, F., Serrano, P., Arriero, J.M. et al. Perianal disease of tuberculous origin. Dis Colon Rectum 42, 110–112 (1999). https://doi.org/10.1007/BF02235192

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  • DOI: https://doi.org/10.1007/BF02235192

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