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A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

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Published on: October 25, 2024

Perianal ulcerative tuberculosis: A case report.

Weifeng Lao¹, Weifeng Mao¹

¹Department of Colorectal Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang, China.

JPMA. the Journal of the Pakistan Medical Association

|June 17, 2022

Summary

Perianal tuberculosis (TB), a rare infection, can present as a persistent anal ulcer. Early diagnosis through biopsy and PCR, even in immunocompetent individuals, is crucial for effective anti-TB treatment.

Keywords:

Tuberculosis, Skin, Ulcer, Antitubercular agents, Case reports.

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Area of Science:

Gastroenterology
Infectious Diseases
Pulmonology

Background:

Perianal tuberculosis (TB) is an exceptionally rare manifestation of mycobacterial infection.
It typically arises from autoinoculation secondary to active gastrointestinal TB.

Observation:

A case report details a 73-year-old immunocompetent male with a refractory perianal ulcer.
Initial TB tests and patient history were negative; however, chest X-ray revealed upper lung opacities.
Diagnosis was confirmed via biopsy and Polymerase Chain Reaction (PCR) after initial negative results.

Findings:

Histological examination and PCR confirmed perianal TB despite negative initial tests.
The patient's ulcer resolved completely with intensive anti-TB therapy.

Implications:

Perianal TB should be considered in refractory perianal ulcers, even in immunocompetent patients without a TB history.
Repeated biopsies and microbiological tests are vital for suspicious lesions.
Early antitubercular treatment is essential to prevent morbidity and manage this rare condition effectively.