Anal tuberculosis
Unusual extrapulmonary manifestation of tuberculosis
Keywords:
TUBERCULOSIS, ANUS DISEASES
Abstract
Perianal tuberculosis is rather a unusual a presentation of extrapulmonary tuberculosis, accounting for 0.7% of all localizations.
Given its low prevalence, diagnosis is seldom made, being it defined by means of a biopsy and the pathological anatomy confirmation. This allows for the specific anti-tuberculosis treatments, achieving excellent results and curing the disease.
The study presents the clinical case of a patient carrier of perianal tuberculosis concomitant with a bilateral pulmonary tuberculosis with no cavitation –no respiratory symptoms–, that appears as a perianal ulcerous lesion. Diagnosis was made with a biopsy and the histological study of the sample. Treatment was based on the Honorary Tuberculosis Committee, and the patient was cured after six months of treatment.
References
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(9) Harland RW, Varkey B. Anal tuberculosis: report of two cases and literature review. Am J Gastroenterol 1992; 87(10):1488-91.
(10) Sultan S, Azria F, Bauer P, Abdelnour M, Atienza P. Anoperineal tuberculosis: diagnostic and management considerations in seven cases. Dis Colon Rectum 2002; 45(3):407-10.
(11) Urrejola G, Villalón R, Rodríguez N. Ulceración perianal: dos casos de una rara manifestación de tuberculosis extrapulmonar. Rev Med Chile 2010; 138(2):220-2.
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(13) Candela F, Serrano P, Arriero JM, Teruel A, Reyes D, Calpena R. Perianal disease of tuberculous origin: report of a case and review of the literature. Dis Colon Rectum 1999; 42(1):110-2.
(14) Cerrato Varela CN, Pineda KP. Tuberculosis abdominal en paciente con VIH/SIDA. Rev Méd Hondur 2010; 78(1):21-4.
(15) Antonello VS, Hoff LS, Kaercher Jr D, Santos BR. Anoperineal tuberculosis in an HIV patient. Braz J Infect Dis 2009; 13(3):246-7.
(16) Chung CC, Choi CL, Kwok SP, Leung KL, Lau WY, Li AK. Anal and perianal tuberculosis: a report of three cases in 10 years. J R Coll Surg Edinb 1997; 42(3):189-90.
(17) Iwase A, Shiota S, Nakaya Y, Sakamoto K, Aoki S, Matsuoka R, Nagayama T. An autopsy case of severe tuberculosis associated with anal fistula and intestinal perforation. Kekkaku 1997; 72(9):515-8.
(18) Betlloch I, Bañuls J, Sevila A, Morell A, Botella R, Roman P. Perianal tuberculosis. Int J Dermatol 1994; 33(4):270-1.
(19) Sehgal VN, Wagh SA. Cutaneous tuberculosis. Current concepts. Int J Dermatol 1990; 29(4):237-52.
(20) Gupta PJ. Ano-perianal tuberculosis: solving a clinical dilemma. Afr Health Sci 2005; 5(4):345-7.
(21) Honig E, van der Meijden WI, Groeninx van Zoelen EC, De Waard-van der Spek FB. Perianal ulceration: a rare manifestation of tuberculosis. Br J Dermatol 2000; 142(1):186-7.
(22) Sharma RC, Singh R, Bhatia VN. Microbiology of cutaneous tuberculosis. Tubercle 1975; 56(4):324-8.
(23) Nachbar F, Classen V, Nachbar T, Meurer M, Schirren CG, Degitz K. Orificial tuberculosis: detection by polymerase chain reaction. Br J Dermatol 1996; 135(1):106-9.
(2) Martínez Vázquez JM, Cabarcos Ortiz de Barrón A, Barrio Gómez E. Tuberculosis e infección por VIH: de la clínica a la prevención (tercera de tres partes). An Med Interna 1997; 14(7):363-8.
(3) Lado Lado FL, Barrio Gómez E, Cabarcos Ortiz de Barrón A, Carballo Arceo E, Sánchez Leira J, Pérez del Molino ML, et al. Tuberculosis e infección por el virus de la inmunodeficiencia humana. Presentación clínica y diagnóstico. An Med Interna 1998; 15(8):415-20.
(4) Rubio T, Gaztelu MT, Calvo A, Repiso M, Sarasíbar H, Jiménez- Bermejo F. Tuberculosis abdominal. Anales Sis San Nav 2005; 28(2):257-60.
(5) Álvarez S, McCabe WR. Extrapulmonary tuberculosis revisited: a review of experience at Boston City and other hospitals. Medicine (Baltimore) 1984; 63(1):25-55.
(6) Fernández Jorge MA, Alonso Mallo E, Lobato Delgado LA, Martínez Sánchez JM. Tuberculosis extrapulmonar: estudio retrospectivo de 107 casos. An Med Interna1995; 12(5):212-5.
(7) Miteva L, Bardarov E. Perianal tuberculosis: a rare case of skin ulceration? Acta Derm Venereol 2002; 82(6):481-2.
(8) Álvarez Conde J, Gutiérrez Alonos V, Del Riego TJ, García Martínez I, Arizcun Sánchez-Morate A, Vaquero Puerta C. Úlceras perianales de origen tuberculoso: aportación de tres nuevos casos. Rev Esp Enferm Dig 1992; 81(1):46-8.
(9) Harland RW, Varkey B. Anal tuberculosis: report of two cases and literature review. Am J Gastroenterol 1992; 87(10):1488-91.
(10) Sultan S, Azria F, Bauer P, Abdelnour M, Atienza P. Anoperineal tuberculosis: diagnostic and management considerations in seven cases. Dis Colon Rectum 2002; 45(3):407-10.
(11) Urrejola G, Villalón R, Rodríguez N. Ulceración perianal: dos casos de una rara manifestación de tuberculosis extrapulmonar. Rev Med Chile 2010; 138(2):220-2.
(12) Akgun E, Tekin F, Ersin S, Osmanoglu H. Isolated perianal tuberculosis. Neth J Med 2005; 63(3):115-7.
(13) Candela F, Serrano P, Arriero JM, Teruel A, Reyes D, Calpena R. Perianal disease of tuberculous origin: report of a case and review of the literature. Dis Colon Rectum 1999; 42(1):110-2.
(14) Cerrato Varela CN, Pineda KP. Tuberculosis abdominal en paciente con VIH/SIDA. Rev Méd Hondur 2010; 78(1):21-4.
(15) Antonello VS, Hoff LS, Kaercher Jr D, Santos BR. Anoperineal tuberculosis in an HIV patient. Braz J Infect Dis 2009; 13(3):246-7.
(16) Chung CC, Choi CL, Kwok SP, Leung KL, Lau WY, Li AK. Anal and perianal tuberculosis: a report of three cases in 10 years. J R Coll Surg Edinb 1997; 42(3):189-90.
(17) Iwase A, Shiota S, Nakaya Y, Sakamoto K, Aoki S, Matsuoka R, Nagayama T. An autopsy case of severe tuberculosis associated with anal fistula and intestinal perforation. Kekkaku 1997; 72(9):515-8.
(18) Betlloch I, Bañuls J, Sevila A, Morell A, Botella R, Roman P. Perianal tuberculosis. Int J Dermatol 1994; 33(4):270-1.
(19) Sehgal VN, Wagh SA. Cutaneous tuberculosis. Current concepts. Int J Dermatol 1990; 29(4):237-52.
(20) Gupta PJ. Ano-perianal tuberculosis: solving a clinical dilemma. Afr Health Sci 2005; 5(4):345-7.
(21) Honig E, van der Meijden WI, Groeninx van Zoelen EC, De Waard-van der Spek FB. Perianal ulceration: a rare manifestation of tuberculosis. Br J Dermatol 2000; 142(1):186-7.
(22) Sharma RC, Singh R, Bhatia VN. Microbiology of cutaneous tuberculosis. Tubercle 1975; 56(4):324-8.
(23) Nachbar F, Classen V, Nachbar T, Meurer M, Schirren CG, Degitz K. Orificial tuberculosis: detection by polymerase chain reaction. Br J Dermatol 1996; 135(1):106-9.
Published
2014-12-31
How to Cite
1.
López Penza P, González González D, Ruso L. Anal tuberculosis. Rev. Méd. Urug. [Internet]. 2014Dec.31 [cited 2024Nov.24];30(4):266-9. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/235
Section
Clinical Cases
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