[Perianal tuberculosis: report of two cases].
Perianal tuberculosis is an uncommon variant of extra pulmonary tuberculosis and mimics other common perianal conditions. We report two patients with perianal tuberculosis. An 82-year-old male presenting with purulent perianal discharge and weight loss. A pelvic magnetic resonance imaging showed a low trans sphincteric anorectal fistula with abscess formation. A fistulectomy was performed and the pathological study showed a granulomatous-tuberculous chronic inflammation. Mycobacteria were recovered from gastric contents. A 48-year-old male with the same symptoms. An ulcerated lesion in the anal region was biopsied, disclosing a granulomatous inflammatory process with Ziehl-Nielsen stainable organisms.
Urrejola
Gonzalo
G
Servicio de Cirugía, Hospital Barros Luco Trudeau, Santiago, Chile. urregon@mac.com
Villalón
Ricardo
R
Rodríguez
Natalie
N
D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D001004:Anus Diseases / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009161:Mycobacterium / Q000302:isolation & purification; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents