Ano-perianal tuberculosis--solving a clinical dilemma.

Abstract:

BACKGROUND:Tuberculosis is one of the causes of granulomatous disease within the anorectal region. The clinical features, which include symptoms and signs of anal pain or discharge, multiple or recurrent fistula in ano and inguinal lymphadinopathy, are not characteristically distinct from other anal lesions. It is also difficult to distinguish it from other granulomatous diseases involving the same area. MATERIALS AND METHODS:A Medline database was used to perform a literature search for articles relating to the term 'anal', 'tuberculosis' and 'Koch's'. CONCLUSION:Analysis of the available literature shows that Koch's lesion in and around the anus is not uncommon. The presentation is varied in nature and tuberculosis should be suspected in lesions not responding to the conventional approaches. The treatment is two-fold: surgical for the suppuration and medical for the tuberculosis.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Gupta PJ

doi

10.5555/afhs.2005.5.4.345

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

345-7

issue

4

eissn

1680-6905

issn

1729-0503

journal_volume

5

pub_type

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