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结核源性肛周疾病:一例报告及文献复习

Perianal disease of tuberculous origin: report of a case and review of the literature.

作者信息

Candela F, Serrano P, Arriero J M, Teruel A, Reyes D, Calpena R

机构信息

Department of Surgery, Hospital General de Elche, Alicante, Spain.

出版信息

Dis Colon Rectum. 1999 Jan;42(1):110-2. doi: 10.1007/BF02235192.

DOI:10.1007/BF02235192
PMID:10211529
Abstract

PURPOSE

A case of anal tuberculosis in an otherwise asymptomatic patient with bleeding anal ulcers is presented. The clinical features of this entity and the problems in differential diagnosis between anal infectious vs. inflammatory diseases are discussed.

METHODS

The management and outcome of the case of an adult patient who presented with perianal ulcers is described.

RESULTS

On a three-drug antituberculous regimen, symptoms abated, radiographic infiltrates improved, and perianal ulcers healed.

CONCLUSION

Anal tuberculosis is an extremely rare disease. A tuberculous origin must be considered when the cause of perianal ulcers is unclear to avoid undesirable delays in the diagnosis and treatment of this disease.

摘要

目的

报告一例肛门溃疡出血但无其他症状患者的肛门结核病例。讨论该疾病实体的临床特征以及肛门感染性疾病与炎症性疾病鉴别诊断中的问题。

方法

描述一名出现肛周溃疡的成年患者的治疗及转归情况。

结果

采用三联抗结核治疗方案后,症状减轻,影像学浸润改善,肛周溃疡愈合。

结论

肛门结核是一种极为罕见的疾病。当肛周溃疡病因不明时,必须考虑结核起源,以免该病的诊断和治疗出现不必要的延误。

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Perianal disease of tuberculous origin: report of a case and review of the literature.结核源性肛周疾病:一例报告及文献复习
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Anal tuberculosis: report of a case and review of literature.肛门结核:一例报告并文献复习
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Perianal tuberculous ulcer with active pulmonary, intestinal and orificial tuberculosis: A case report.伴有活动性肺结核、肠结核和口腔结核的肛周结核性溃疡:一例报告
World J Radiol. 2024 Aug 28;16(8):356-361. doi: 10.4329/wjr.v16.i8.356.
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Perianal tuberculosis: A case report and review of the literature.肛周结核:一例病例报告及文献综述
World J Clin Cases. 2015 Sep 16;3(9):848-52. doi: 10.12998/wjcc.v3.i9.848.
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Perianal tuberculosis: a case report and a review of the literature.肛周结核:一例病例报告及文献综述
Case Rep Infect Dis. 2012;2012:852763. doi: 10.1155/2012/852763. Epub 2012 Dec 30.
4
A case of tuberculosis cutis orificialis with perianal involvement.1例累及肛周的口周皮肤结核。
Ann Dermatol. 2009 Nov;21(4):443-6. doi: 10.5021/ad.2009.21.4.443. Epub 2009 Nov 30.
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[No ordinary anal fistula...].[绝非寻常肛瘘……]
Internist (Berl). 2008 Apr;49(4):490, 492-4. doi: 10.1007/s00108-008-2063-6.
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Current concepts in anal fissures.肛裂的当前概念。
World J Surg. 2006 Dec;30(12):2246-60. doi: 10.1007/s00268-005-0664-y.
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Ano-perianal tuberculosis--solving a clinical dilemma.肛门周围结核——解决临床难题
Afr Health Sci. 2005 Dec;5(4):345-7. doi: 10.5555/afhs.2005.5.4.345.