1/11. Perianal disease of tuberculous origin: report of a case and review of the literature.PURPOSE: A case of anal tuberculosis in an otherwise asymptomatic patient with bleeding anal ulcers is presented. The clinical features of this entity and the problems in differential diagnosis between anal infectious vs. inflammatory diseases are discussed. methods: The management and outcome of the case of an adult patient who presented with perianal ulcers is described. RESULTS: On a three-drug antituberculous regimen, symptoms abated, radiographic infiltrates improved, and perianal ulcers healed. CONCLUSION: Anal tuberculosis is an extremely rare disease. A tuberculous origin must be considered when the cause of perianal ulcers is unclear to avoid undesirable delays in the diagnosis and treatment of this disease.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
2/11. Perianal ulceration in a "healthy" Chinese man with disseminated tuberculosis.Orificial tuberculosis (OTB) is a rare form of cutaneous mycobacterium tuberculosis infection affecting the mucosa and skin around orifices in patients with advanced internal tuberculosis and poor general health. We report a 72-year-old Chinese man who had a 10-year history of OTB with disseminated tuberculosis infection of the lungs and urinary tract. He appeared surprisingly healthy and had been free from systemic symptoms all along despite widespread tuberculosis. The diagnosis of OTB was established by the microscopic presence of acid-fast bacilli (AFB) in the tissue section and was rapidly confirmed by polymerase chain reaction (PCR) to be mycobacterium tuberculosis. PCR shortens the time of diagnosing rare presentations of cutaneous tuberculosis and prevents delays in treatment. Conventional culture is still important in confirming the diagnosis and screening for drug resistance.- - - - - - - - - - ranking = 5.5keywords = tuberculosis (Clic here for more details about this article) |
3/11. Anal tuberculosis: report of two cases and literature review.Tuberculous involvement of the anus is an extreme rarity. We report two cases of anal tuberculosis and discuss the clinical features, the difficulty in differentiating from Crohn's disease, and the diagnostic aspects in the context of the pertinent medical literature.- - - - - - - - - - ranking = 2.5keywords = tuberculosis (Clic here for more details about this article) |
4/11. Isolated perianal tuberculosis.Perianal tuberculosis, without the presence of any previous or active pulmonary infection, is extremely rare. A case of isolated perianal tuberculosis without gastrointestinal or pulmonary spread will be discussed here with an evaluation of the clinical features.- - - - - - - - - - ranking = 3keywords = tuberculosis (Clic here for more details about this article) |
5/11. Perianal ulceration: a case of tuberculosis cutis orificialis.BACKGROUND: Tuberculosis cutis orificialis is an extremely rare variant of cutaneous tuberculosis. Perianal location is a possible site of presentation. methods: We describe the management of a young male with a painless non-specific perianal ulcer, who presented an asymptomatic disseminate pulmonary and intestinal tuberculosis. He had a history of pulmonary sarcoidosis and long-term corticosteroid therapy. RESULTS: Healing of the ulcer was achieved after three-drug antituberculous therapy, with an improvement of the radiographic pulmonary alterations. CONCLUSIONS: Tuberculous origin should be considered in persistent perianal ulcers to avoid delays in the treatment of this rare form of tuberculosis.- - - - - - - - - - ranking = 3.5keywords = tuberculosis (Clic here for more details about this article) |
6/11. Miliary tuberculosis presenting as an acute perianal abscess. Report of a case.A 20-year-old woman presented with an acute perianal abscess. Tuberculous culture was positive and a chest radiograph demonstrated miliary spread. Tuberculosis still should be considered as an etiologic factor in acute anorectal sepsis.- - - - - - - - - - ranking = 2keywords = tuberculosis (Clic here for more details about this article) |
7/11. Varicose anorectal tuberculosis. A case report.Varicose anorectal tuberculosis is rare. A case is reported and the English-language literature reviewed. attention is drawn to the manifold presentations of this condition.- - - - - - - - - - ranking = 2.5keywords = tuberculosis (Clic here for more details about this article) |
8/11. Anal tuberculosis. A report of two cases.Two cases of anal tuberculosis are reported. One presented as an ulceration in the anal canal and the other as an anal abscess and fistula. Both were diagnostic problems, tuberculosis was not suspected at first. Both were cured, one by medical treatment, the other by combined surgical and medical treatment.- - - - - - - - - - ranking = 3keywords = tuberculosis (Clic here for more details about this article) |
9/11. Tuberculous anal ulcer.Two patients with anorectal tuberculosis, without prior or concurrent knowledge of active pulmonary infection with mycobacteria, are described. Anal fissure in an unusual location which is slow to heal should have a biopsy performed, with appropriate stains and cultures carried out, to rule out tuberculous disease. Chemotherapy is then highly effective for ulcerative perianal tuberculosis.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
10/11. Tuberculous fissure-in ano.Anal tuberculosis is rare, with cases appearing sporadically in the worldwide literature, and only a single case report of the condition occurring in the UK over the last 10 years. We are able to present a case of tuberculous fissure-in ano.- - - - - - - - - - ranking = 0.5keywords = tuberculosis (Clic here for more details about this article) |
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