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Tuberculous anal ulcer

T V Whalen, P J Kovalcik, W L Old

    Diseases of the Colon and Rectum
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Anorectal tuberculosis can occur without lung infection. A biopsy of slow-healing anal fissures can diagnose this condition, which is effectively treated with chemotherapy.

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    Area of Science:

    • Gastroenterology
    • Infectious Diseases
    • Microbiology

    Background:

    • Anorectal tuberculosis is a rare manifestation of Mycobacterium tuberculosis infection.
    • It often presents without evidence of active pulmonary tuberculosis, making diagnosis challenging.

    Observation:

    • Two cases of anorectal tuberculosis are presented in patients lacking prior or concurrent pulmonary tuberculosis.
    • One patient presented with an anal fissure in an atypical location that was slow to heal.

    Findings:

    • Histopathological examination, including acid-fast bacilli staining and mycobacterial cultures, is crucial for diagnosing anorectal tuberculosis.
    • Ulcerative perianal tuberculosis demonstrated a significant positive response to standard antitubercular chemotherapy.

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    Implications:

    • Clinicians should consider anorectal tuberculosis in the differential diagnosis of persistent, non-healing anal fissures, especially in endemic areas.
    • Prompt diagnosis and appropriate chemotherapy are essential for successful management and preventing complications of ulcerative perianal tuberculosis.