Perianal Tuberculosis in an Immunocompetent Patient: Exploring the Uncommon Manifestation
Abstract: As it is an infrequent etiology, the diagnosis of perianal tuberculosis is challenging, especially in the absence of a pulmonary focus. TB should be considered in the differential diagnosis of perianal ulcers, fistulas, abscesses, mainly in non-healing and recurrent anal lesions. Treatment with anti-TB agents can provide complete recovery. Furthermore, these lesions are often diagnosed later after complete histopathological and mycobacterial results, where the benefit of avoiding morbid multiple surgeries by effective anti-TB treatment is lost. We reported a rare case of an immuno-competent patient with perianal TB, which was the first manifestation of the disease. A fit-and-well man in his 20s presented a large perianal abscess. Unexpectedly, his chest X-ray showed a rounded hyper-transparency in the left lung. The abscess was drained. Posterior investigation with culture analysis from pus swabs and sputum revealed the presence of Mycobacterium tuberculosis complex infection. After completing the 6 months of oral administration of anti-TB drugs, the patient was asymptomatic. By highlighting this unusual manifestation, we aim to improve clinicians' awareness of perianal TB, facilitating early recognition and appropriate management.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Perianal Tuberculosis in an Immunocompetent Patient: Exploring the Uncommon Manifestation ; volume:44 ; number:02 ; year:2024 ; pages:e137-e140
Journal of coloproctology ; 44, Heft 02 (2024), e137-e140
- Contributor
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Ferreira, Ana Rita
Pereira, Hugo
Castro, Bárbara
Ferreira, Joana
Esteves, Joana
Pereira, Bela
Vale, Sílvio
Oliveira, Manuel
- DOI
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10.1055/s-0044-1787286
- URN
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urn:nbn:de:101:1-2407251027290.786118710071
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:57 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Ferreira, Ana Rita
- Pereira, Hugo
- Castro, Bárbara
- Ferreira, Joana
- Esteves, Joana
- Pereira, Bela
- Vale, Sílvio
- Oliveira, Manuel
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