キクチ ケン   Kikuchi Ken
  菊池 賢
   所属   医学部 医学科(東京女子医科大学病院)
   職種   教授
論文種別 症例報告
言語種別 英語
査読の有無 査読有り
表題 Perianal tuberculosis: A case report and review of the literature.
掲載誌名 正式名:World journal of clinical cases
略  称:World J Clin Cases
ISSNコード:(2307-8960)2307-8960(Linking)
掲載区分国外
巻・号・頁 3(9),848-52頁
著者・共著者 Tago Sayaka, Hirai Yuji, Ainoda Yusuke, Fujita Takahiro, Takamori Mikio, Kikuchi Ken
発行年月 2015/09
概要 Tuberculosis (TB) is still a major health problem worldwide. We present a rare case of an immuno-competent patient with perianal TB. A 38-year-old man visited a clinic with pain, swelling, and redness in the perineum. He had been persistently coughing for the past 6 mo. The abscess had formed a fistula to the perianal region, indicating perianal abscess. Mycobacterium tuberculosis was found in sputum and perianal abscess. Surgical drainage was performed, and oral anti-tuberculous drugs were administered for 6 mo. The patient's clinical course was favorable. On review of the literature on 58 cases of perianal TB, we found that the duration of persistent perianal lesion was much longer in patients without active pulmonary TB (APTB) than in those with APTB (66.4 mo vs 8.3 mo; confidence interval, 0.0760-0.9620, P = 0.0380). Thus, in cases of non-healing or recurrent perianal lesions, TB should be considered.
DOI 10.12998/wjcc.v3.i9.848
PMID 26380834