[Perineal tuberculous abscess. Presentation of a clinical case].
OBJECTIVE
To describe a case of perineal abscess caused by Koch's bacillus in a patient with a history of bladder tumor.


RESULTS
The patient described herein had consulted at the emergency services for perineal abscess. He had previously undergone transurethral resection of a bladder tumor and had received prophylactic intravesical BCG instillation thereafter. A culture of the exudate led to the diagnosis of tuberculosis, with no microbiological relation to BCG therapy. During the course of the disease, the patient developed a urethrocutaneous fistula which resolved after specific medical treatment.


CONCLUSIONS
In a patient with clinical features of tuberculosis and a recent history of exposure to BCG, it does not necessarily follow that this bacillus is the cause of the tuberculosis. Furthermore, not all tuberculous fistulas progress to chronicity or require surgical treatment.
Borrego Hernando
J
J
Servicio de Urología, Hospital del Bierzo, Ponferrada, León.
Parra Muntaner
L
L
Rivas Escudero
J A
JA
Gómez Cisneros
S
S
García Alonso
J
J
D000038:Abscess / Q000188:drug therapy / Q000209:etiology*; D000368:Aged; D001500:BCG Vaccine / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010502:Perineum; D014376:Tuberculosis / Q000188:drug therapy / Q000209:etiology*; D001749:Urinary Bladder Neoplasms / Q000628:therapy*
D001500:BCG Vaccine