[Tuberculosis ulcerosa of the anus and anal fissure accompanied by pulmonary tuberculosis].
Dermal tuberculosis is being rarely diagnosed and its incidence in Poland is less than I % of all registered cases of this disease. A case of the alcohol abusing patient with diagnosed tuberculosis ulcerosa of the anal fissure and pulmonary tuberculosis has been described. Bacteriological confirmation has been achieved using PCR and Bactec 460 methods. Complete healing of the cutaneous lesions and regression of radiological titers in lungs has been achieved as a result of applied typical antituberculotic treatment. Delayed diagnostics of the patient (6 months from occurrence of the cutaneous lesions) endangered other persons, including healthcare employees' health to infection with tubercle bacillus. This speaks for a need of continuous reminding physicians that infection with tuberculosis may manifest itself from various organs.
Nalepa
Piotr
P
1st Department of Lungs' Diseases, The John Paul II Hospital in Kraków. pnalepa@szpitaljp2.krakow.pl
Pasowicz
Mieczysław
M
Straczek
Celina
C
D001003:Anal Canal / Q000382:microbiology*; D000995:Antitubercular Agents / Q000627:therapeutic use; D005401:Fissure in Ano / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000302:isolation & purification*; D016896:Treatment Outcome; D014374:Tuberculin Test; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents