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免疫功能正常的成年人中表现为慢性肛周脓肿的肛门结核:一例罕见病例报告

Anal tuberculosis presented as chronic perianal abscess in an immunocompetent adult: A rare case report.

作者信息

Kumari Pratyaksha, Datta Ananda, Malik Archana, Sangma Lee Chang M, Sawale Sumeet, Arya Abhinav Prakash, Das Sarthak

机构信息

Department of Pulmonary Medicine, AIIMS Deoghar, Devipur, Jharkhand, India.

Department of General Surgery, AIIMS Deoghar, Devipur, Jharkhand, India.

出版信息

J Family Med Prim Care. 2024 Oct;13(10):4734-4736. doi: 10.4103/jfmpc.jfmpc_326_24. Epub 2024 Oct 18.

Abstract

There are reported 7.5 million cases of extra pulmonary tuberculosis (TB) (EPTB) worldwide and 19% in the South-East Asia region. Anal TB represents an exceedingly uncommon extra pulmonary manifestation of TB), occurring in fewer than 1% of individuals who acquire TB. The occurrence of perianal illness is extremely rare, accounting for 1% of the gastrointestinal (GI) tract, while GI TB makes up less than 1% of all TB cases. The most prevalent manifestation is the development of a fistula in the anus, while the presentation as a perianal abscess is uncommon. We present a case of isolated perianal TB with no associated GI or pulmonary dissemination in the immunocompetent.

摘要

据报道,全球有750万例肺外结核病(EPTB)病例,东南亚地区占19%。肛门结核是一种极为罕见的肺外结核病表现,在感染结核病的个体中发生率不到1%。肛周疾病的发生极为罕见,占胃肠道(GI)疾病的1%,而胃肠道结核占所有结核病病例的比例不到1%。最常见的表现是肛门瘘管形成,而表现为肛周脓肿的情况并不常见。我们报告一例免疫功能正常的单纯肛周结核病例,无相关胃肠道或肺部播散。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/537d/11610886/1b6370ab0a34/JFMPC-13-4734-g001.jpg

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