title: [No ordinary anal fistula...].
abstract: We present the case of a 63 year-old male Swiss patient with chronic diarrhea, mucous anal discharge, anal fistula, chronic anal ulceration and history of tuberculosis 56 years ago. Imaging and endoscopy was highly suspicious for Crohn's Disease, but histology and culture for M. tuberculosis proved tuberculous proctitis with perianal involvement and fistulation. The consideration of extrapulmonal tuberculosis with its various manifestations is crucial for the investigation of chronic abdominal complaints in order to avoid serious consequences of tuberculosis treated with immunosuppressive therapy.
authors.affiliation: Medizinische Klinik, Universitätsspital, Petersgraben 4, 4031, Basel, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Gierthmühlen
authors.forename: G
authors.initials: G
authors.lastname: Laiffer
authors.forename: C T
authors.initials: CT
authors.lastname: Viehl
authors.forename: S
authors.initials: S
authors.lastname: Savic
authors.forename: J
authors.initials: J
authors.lastname: Bremerich
authors.forename: C
authors.initials: C
authors.lastname: Mueller
authors.forename: M
authors.initials: M
authors.lastname: Christ
mesh_terms: D000995:Antitubercular Agents / Q000009:adverse effects / Q000627:therapeutic use; D001706:Biopsy; D004359:Drug Therapy, Combination; D019160:Endosonography; D006801:Humans; D008297:Male; D008875:Middle Aged; D011349:Proctitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D012003:Rectal Fistula / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D012007:Rectum / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000995:Antitubercular Agents