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肛门结核:一例报告并文献复习

Anal tuberculosis: report of a case and review of literature.

作者信息

Mathew Soniya

机构信息

Queen's Medical Centre, Department of Emergency Medicine, Nottingham NG7 2UH, UK.

出版信息

Int J Surg. 2008 Dec;6(6):e36-9. doi: 10.1016/j.ijsu.2006.11.005. Epub 2006 Dec 2.

Abstract

PURPOSE

A case of anal tuberculosis with a perianal growth and anal ulceration is presented. The clinical features and the diagnostic problems along with increasing incidence of new cases of tuberculosis are discussed.

METHODS

The diagnosis, management and outcome of an adult male patient, who presented with perianal lesions are described.

RESULTS

On a four drug anti-tuberculous regimen, the symptoms improved and perianal lesions healed.

CONCLUSION

Anal tuberculosis although extremely rare, can be manifested in various forms. A high index of suspicion of tuberculosis should be borne in mind in all cases of perianal lesions with vague etiology or with diagnostic problems, which should be confirmed by histological and bacteriological analysis and treated specifically.

摘要

目的

报告一例伴有肛周肿物及肛管溃疡的肛门结核病例。结合结核病新发病例的发病率上升情况,讨论其临床特征及诊断问题。

方法

描述一名出现肛周病变的成年男性患者的诊断、治疗及转归。

结果

采用四联抗结核治疗方案后,症状改善,肛周病变愈合。

结论

肛门结核虽极为罕见,但可表现为多种形式。对于所有病因不明或存在诊断问题的肛周病变病例,均应高度怀疑结核,需通过组织学和细菌学分析予以确诊并进行针对性治疗。

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