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[Anal tuberculosis. Report of a case]
M Rocha1, C Carrasco, N Naquira
1Departamento de Cirugía, Facultad de Medicina (Campus Occklente), Universidad de Chile, Hospital San Juan de Dios, Santiago, Chile.
Revista Medica De Chile
|June 3, 1998
Summary
A 70-year-old man with anal pain and stenosis was diagnosed with tuberculosis. Antituberculous treatment led to complete remission of anal lesions, demonstrating effective management of this rare presentation.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pulmonology
Background:
- Tuberculosis (TB) is a significant global health concern, primarily affecting the lungs.
- Extrapulmonary tuberculosis, including anal manifestations, is less common but poses diagnostic challenges.
Observation:
- A 70-year-old male presented with malaise, anal pain, and progressive defecation difficulty.
- Physical examination revealed an ulcerated anal lesion causing stenosis and purulent discharge.
- Elevated erythrocyte sedimentation rate (108 mm/h) and pulmonary TB on imaging were noted.
Findings:
- Biopsy of the anal lesion confirmed chronic tuberculous inflammation with caseation and epithelioid tubercles.
- The patient had no prior history or known contact with tuberculosis.
- Pulmonary tuberculosis was evident in both apical lobes.
Implications:
- This case highlights the importance of considering tuberculosis in the differential diagnosis of anal lesions, even without a history of TB.
- Prompt diagnosis and treatment with antituberculous drugs are crucial for managing anal tuberculosis.
- Effective treatment resulted in complete remission of anal lesions and patient recovery.