C. Manjra, O. Nacir, Ibtissam Bounouar, M. E. Bouatmani, F. Lairani, A. A. Errami, S. Oubaha, Z. Samlani, K. Krati
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引用次数: 0
摘要
结核病是一个公共卫生问题。肺结核最为常见，而孤立的会阴部受累则非常罕见。本文描述了一例会阴部结核病例，患者 26 岁，因反复肛瘘和慢性肛周溃疡入院。患者接受了多项检查，包括人类免疫缺陷病毒（HIV）和梅毒血清学检查、回肠结肠镜检查和胸部 X 光检查，均未发现异常。结核菌素皮内反应呈阳性，有 15 毫米的压痕。肛周溃疡活检组织病理学检查显示，上皮样细胞肉芽肿伴有兰汉斯多核巨细胞和包膜酪质坏死，因此我们诊断为肛门结核。我们对患者进行了为期 6 个月的成功治疗。
Unusual Presentation of Digestive Tuberculosis: About A Case Report
Tuberculosis is a public health issue. Pulmonary form is the most common, and isolated ano-perineal involvement is very rare. We describe in this paper a case of an ano-perineal tuberculosis in a 26-year-old, who was admitted for a recurrent fistula and chronic perianal ulcerations. Many investigations were made, including Human Immunodeficiency Virus (HIV) and syphilis serologies, ileocolonoscopy, chest X-ray, and they all revealed no abnormalities. The Tuberculin intradermal reaction was positive with a 15 mm induration. Histopathological examination of perianal ulceration’s biopsies revealed epithelioid cell granuloma accompanied by Langhans multinucleated giant cells and enclosing caseating necrosis, which allowed us to diagnose an anoperineal tuberculosis. The patient was successfully treated by a 6-month regimen.
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