[Perianal tuberculosis].

IF 0.4 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Asdis Kristjansdottir, Agnar Bjarnason, Gigja Erlingsdottir, Pall Helgi Moller
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引用次数: 0

Abstract

Perianal tuberculosis is a rare manifestation of tuberculosis. This report describes a healthy 41-year-old man diagnosed with a perianal abscess that required examination and surgical drainage under general anesthesia. The wound healed poorly over the following months, prompting repeat cultures and tissue sampling. Histological diagnosis revealed necrotizing granulomatous inflammation and acid-fast bacilli, indicating mycobacterial infection. Further investigation revealed pulmonary tuberculosis. The patient received a six-month course of anti-tuberculosis medications and recovered fully. The perianal wound healed well following treatment. Tuberculosis is an important differential diagnosis in individuals with a wound or a lesion near the anus or elsewhere that heals slowly or recurs.

(肛周的结核病)。
肛周结核是一种罕见的结核表现。本报告描述了一位41岁的健康男性,诊断为肛门周围脓肿,需要在全身麻醉下进行检查和手术引流。在接下来的几个月里,伤口愈合得很差,需要重复培养和组织取样。组织学诊断为坏死性肉芽肿性炎症和抗酸杆菌,提示分枝杆菌感染。进一步检查发现是肺结核。患者接受了六个月的抗结核药物治疗,并完全康复。经治疗后肛周伤口愈合良好。对于肛门附近或其他地方的伤口或病变愈合缓慢或复发的个体,结核病是一个重要的鉴别诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Laeknabladid
Laeknabladid MEDICINE, GENERAL & INTERNAL-
CiteScore
0.50
自引率
25.00%
发文量
63
审稿时长
>12 weeks
期刊介绍: Læknablaðið er fræðirit sem birtir vísinda og yfirlitsgreinar og annað efni sem byggir á rannsóknum innan læknisfræði eða skyldra greina. Læknablaðið er gefið út af Læknafélagi Íslands. Blaðið er sent til allra félagsmanna. Það var fyrst gefið út árið 1904 en hefur komið samfellt út frá árinu 1915. Blaðið kemur út 11 sinnum á ári og er prentað í 2000 eintökum. Allt efni Læknablaðsins frá árinu 2000 er aðgengilegt á heimasíðu blaðsins á laeknabladid.is og er aðgangur endurgjaldslaus og öllum opinn.
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