Perianal Tuberculosis in A Male Patient with Diabetes Mellitus

Year 2017, , 64 - 66, 20.03.2017

Murat Özgür Kılıç , Cemile Sağlam Cevat Can

https://doi.org/10.21763/tjfmpc.295954

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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