Perianal tuberculosis: a case report and a review of the literature.
Perianal tuberculosis: a case report and a review of the literature.
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DOI：
10.1155/2012/852763
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发表时间：
2012
影响因子：
1.1
通讯作者：
Mazaz K
中科院分区：
文献类型：
--
作者：
Ibn Majdoub Hassani K;Ait Laalim S;Toughrai I;Mazaz K
肺外结核占所有结核病例的不到15%，而肠道结核占肺外结核的不到1%。腹部器官的病变较常见，但很少发生在肛门会阴区，因为疾病传播到肛门是非常罕见的。我们报告一个37岁男性病人，有大的双侧感染肛周结核性溃疡，以及肺和腹膜结核。治疗包括手术和药物治疗，治疗持续了7个月。治疗6个月后，病灶完全消失，随访1年仍无复发。在肛门和肛周区域溃疡性病变的鉴别诊断中，通常应考虑到结核病，因为这些病变确实发生在所述区域，尽管它们很罕见。治疗通常是手术和药物，以获得良好的效果。
Extra pulmonary tuberculosis accounts for less than 15% of all cases of tuberculosis whereas the Intestinal one constitutes less than 1% of the extrapulmonary forms of the disease. The lesions of abdominal organs are more common while they rarely occur in the anoperineal area for the spread of the disease to the anus is extremely rare. We report a case of a 37-year-old male patient with large bilateral infected perianal tubercular ulcerations as well as pulmonary and peritoneal tuberculosis. The treatment was both surgical and medical and the therapy lasted for seven months. After six months from the beginning of the treatment, the lesion had totally disappeared and there is still no recurrence after one year of followup. Tuberculosis should generally be taken into consideration in the differential diagnosis of the ulcerative lesions of the anal and perianal regions for these lesions do occur in the said areas despite their rarity. The treatment is usually both surgical and medical so as to get excellent results.