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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

Perianal tuberculous ulcer with active pulmonary, intestinal and orificial tuberculosis: A case report.

作者信息

Yuan Bao, Ma Chao-Qun

机构信息

Department of General Surgery, Jiangyin Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi 214400, Jiangsu Province, China.

Department of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, Jiangsu Province, China.

出版信息

World J Radiol. 2024 Aug 28;16(8):356-361. doi: 10.4329/wjr.v16.i8.356.

DOI:10.4329/wjr.v16.i8.356
PMID:39239247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11372554/
Abstract

BACKGROUND

Orificial tuberculosis is a rare type of tuberculosis, which is easy to be misdiagnosed, and can cause great damage to the perianal skin and mucosa. Early diagnosis can avoid further erosion of the perianal muscle tissue by tuberculosis bacteria.

CASE SUMMARY

Here, we report a case of disseminated tuberculosis in a 62-year-old male patient with a perianal tuberculous ulcer and active pulmonary tuberculosis, intestinal tuberculosis and orificial tuberculosis. This is an extremely rare case of cutaneous tuberculosis of the anus, which was misdiagnosed for nearly a year. The patient received conventional treatment in other medical institutions, but specific treatment was delayed. Ultimately, proper diagnosis and treatment with standard anti-tuberculosis drugs for one year led to complete cure.

CONCLUSION

For skin ulcers that do not heal with repeated conventional treatments, consider ulcers caused by rare bacteria, such as .

摘要

背景

腔口结核是一种罕见的结核病类型,容易被误诊,可对肛周皮肤和黏膜造成严重损害。早期诊断可避免结核杆菌对肛周肌肉组织的进一步侵蚀。

病例摘要

在此,我们报告一例62岁男性播散性结核病患者,伴有肛周结核性溃疡以及活动性肺结核、肠结核和腔口结核。这是一例极其罕见的肛门皮肤结核病例,误诊近一年。患者在其他医疗机构接受了常规治疗,但特异性治疗被延误。最终,使用标准抗结核药物进行正确诊断和治疗一年后实现了完全治愈。

结论

对于经反复常规治疗仍不愈合的皮肤溃疡,应考虑由罕见细菌引起的溃疡,如……

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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
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本文引用的文献

1
Annual risk of tuberculosis infection in rural China: a population-based prospective study.中国农村地区的结核病感染年发病风险:一项基于人群的前瞻性研究。
Eur Respir J. 2016 Jul;48(1):168-78. doi: 10.1183/13993003.00235-2016. Epub 2016 May 26.
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Cutaneous tuberculosis overview and current treatment regimens.皮肤结核概述及当前治疗方案
Tuberculosis (Edinb). 2015 Dec;95(6):629-638. doi: 10.1016/j.tube.2014.12.006. Epub 2014 Dec 25.
3
T-Spot.TB outperforms tuberculin skin test in predicting development of active tuberculosis among household contacts.
在预测家庭接触者中活动性肺结核的发生方面,T-Spot.TB检测比结核菌素皮肤试验表现更优。
Respirology. 2015 Apr;20(3):496-503. doi: 10.1111/resp.12483. Epub 2015 Feb 17.
4
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.
5
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
Dis Colon Rectum. 1999 Jan;42(1):110-2. doi: 10.1007/BF02235192.
6
Tuberculosis in patients with human immunodeficiency virus infection.人类免疫缺陷病毒感染患者的结核病
N Engl J Med. 1999 Feb 4;340(5):367-73. doi: 10.1056/NEJM199902043400507.