KIKUCHI Ken
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Perianal tuberculosis: A case report and review of the literature.
Journal Formal name:World journal of clinical cases
Abbreviation:World J Clin Cases
ISSN code:(2307-8960)2307-8960(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 3(9),pp.848-52
Author and coauthor Tago Sayaka, Hirai Yuji, Ainoda Yusuke, Fujita Takahiro, Takamori Mikio, Kikuchi Ken
Authorship Last author
Publication date 2015/09
Summary 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