Perianal Tuberculosis in A Male Patient with Diabetes Mellitus

Abstract

Perianal tuberculosis is a rare form of tubercular infection, and has variable clinical pictures such as acute abscess, chronic ulcer, nodulary lesion, and fistula. Although it can be presented in ulcerative, verruous, lupoid and miliary forms, superficial ulceration is the most commonly reported morphological type. Crohn’s disease, herpetic ulcer, malignancy, and other granulomatous diseases should be considered in the differential diagnosis of perianal tuberculosis. The diagnosis mainly depends on histologic and/or bacteriologic examination. Six-month anti-tuberculous therapy is the standard treatment, and surgery is only indicated for fistula and abscess. Herein, a rare case of perianal tuberculosis in a male patient with diabetes mellitus was presented.

Perianal tüberküloz (TB) tüberküler enfeksiyonun nadir bir formudur ve akut apse, kronik ülser, nodüler lezyon ve fistül gibi değişken klinik şekilleri vardır. Ülseratif, verrüköz, lupoid ve miliyer formlarda prezente olmasına karşın, yüzeysel ülser en sık bildirilen morfolojik tiptir. Crohn hastalığı, herpetik ülser, malignite ve diğer granülomatöz hastalıklar perianal tüberkülozun ayırıcı tanısında düşünülmelidir. Tanı esas olarak histolojik ve/veya bakteriyolojik incelemelere dayanır. Altı aylık anti-tüberküloz tedavisi standart tedavidir, ve cerrahi sadece fistül ve apsede endikedir. Burada, diabetes mellituslu bir erkek hastada nadir bir perianal tüberküloz olgusu sunuldu. 

Keywords

• diabetes,diagnosis,male,perianal tuberculosis,treatment

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