Diseases of the Colon & Rectum

, Volume 42, Issue 1, pp 110–112 | Cite as

Perianal disease of tuberculous origin

Report of a case and review of the literature
  • F. Candela
  • P. Serrano
  • J. M. Arriero
  • A. Teruel
  • D. Reyes
  • R. Calpena
Case Reports

Abstract

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 infectiousvs. 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.

Key words

Perianal tuberculosis Perianal ulcers Extrapulmonary tuberculosis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Raviglione MC, Snider DE, Kochi A. Global epidemiology of tuberculosis: morbidity and mortality of a worldwide epidemic. JAMA 1995;273:220–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Ahlberg J, Bergstrand T, Holmström B,et al. Anal tuberculosis: a report of two cases. Acta Chir Scand 1980;500(Suppl):45–7.Google Scholar
  3. 3.
    Dolin PJ, Raviglione MC, Kochi A. Global tuberculosis incidence and mortality during 1990–2000. Bull World Health Organ 1994;72:213–20.PubMedGoogle Scholar
  4. 4.
    Mehta JB, Dutt A, Harvill L, Mathews KM. Epidemiology of extrapulmonary tuberculosis: a comparative analysis with pre-AIDS era. Chest 1991;99:1134–8.PubMedGoogle Scholar
  5. 5.
    Aktogu S, Yorgancioglu A, Cirak K, Köse T, Dereli SM. Clinical spectrum of pulmonary and pleural tuberculosis: a report of 5,480 cases. Eur Respir J 1996;9:2031–5.CrossRefPubMedGoogle Scholar
  6. 6.
    Sbarbaro JA. Tuberculosis in the 1990s. Epidemiology and therapeutic challenge. Chest 1995;108:58s-62s.PubMedGoogle Scholar
  7. 7.
    Harland RW, Varkey B. Anal tuberculosis: report of two cases and literature review. Am J Gastroenterol 1992;87:1488–91.PubMedGoogle Scholar
  8. 8.
    Betlloch I, Bañuls J, Sevila A,et al. Perianal tuberculosis. Int J Dermatol 1994;33:270–1.PubMedGoogle Scholar
  9. 9.
    O'Donohoe MK, Waldron RP, O'Malley E. Miliary tuberculosis presenting as an acute perianal abscess: report of a case. Dis Colon Rectum 1987;30:697–8.PubMedGoogle Scholar
  10. 10.
    Alvarez JL, Gutiérrez VM, Del Riego R,et al. Ulceras perianales de origen tuberculoso. Aportación de tres nuevos casos. Rev Esp Enferm Digest 1992;81:46–8.Google Scholar
  11. 11.
    Caminero Luna JA, Casal Román M, Ausina Ruiz V, Pina Gutiérrez JM, Sauret Valet J. Diagnóstico de la tuberculosis. Arch Bronconeumol 1996;32:85–99.PubMedGoogle Scholar
  12. 12.
    Whalen TV, Kovalcik PJ, Old WL Jr. Tuberculous anal ulcer. Dis Colon Rectum 1980;23:54–5.PubMedGoogle Scholar
  13. 13.
    Borki K, Saissy JM, Benomar S. Anorectal tuberculosis disclosed by hemorrhoidal thrombosis. Med Trop (Mars) 1986;1:75–7.Google Scholar
  14. 14.
    Ani AN, Solanke TF. Anal fistula: a review of 82 cases. Dis Colon Rectum 1976;19:51–5.PubMedGoogle Scholar
  15. 15.
    Shukla HS, Gupta SC, Singh G, Singh PA. Tubercular fistula in ano. Br J Surg 1988;75:38–9.PubMedGoogle Scholar

Copyright information

© The American Society of Colon and Rectal Surgeons 1999

Authors and Affiliations

  • F. Candela
    • 4
  • P. Serrano
    • 4
  • J. M. Arriero
    • 3
  • A. Teruel
    • 1
  • D. Reyes
    • 2
  • R. Calpena
    • 4
  1. 1.the Department of PathologyHospital General de ElcheAlicanteSpain
  2. 2.the Department of Gastroenterology ServicesHospital General de ElcheAlicanteSpain
  3. 3.the Department of Pneumology ServiceHospital de San JuanAlicanteSpain
  4. 4.Servicio de Cirugía GeneralHospital General Universitario Elche, Partida Huertos y Molinos s/nElche (Alicante)Spain

Personalised recommendations