Tuberculosis: a rare entity of anal disease

"Abstract: Tuberculosis (TB) is a common infectious granulomatous disease in Malaysia, especially Sabah. Anal TB is extremely rare, approximately less than 1% of the cases. It can present as fistula-in-ano, ulcer, stricture, and even mass. The diagnosis can be established via bacteriological, h...

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Bibliographic Details
Main Authors: Ho, Hui Lian, Hud Zin, Firdaus Hayati, Nornazirah Azizan, Khasnizal Abd Karim
Format: Article
Language:English
Published: 2017
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Online Access:https://eprints.ums.edu.my/id/eprint/18512/1/Tuberculosis.pdf
https://eprints.ums.edu.my/id/eprint/18512/
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Summary:"Abstract: Tuberculosis (TB) is a common infectious granulomatous disease in Malaysia, especially Sabah. Anal TB is extremely rare, approximately less than 1% of the cases. It can present as fistula-in-ano, ulcer, stricture, and even mass. The diagnosis can be established via bacteriological, histopathological and molecular methods; even Mantoux test, chest radiography and ESR occasionally are not helpful. Anti-TB medication is the primary line of treatment as surgery alone is inadequate. We present a case of anal TB presented with nodular mass with ulcerated surface mimicking malignancy, our management strategies and review of the literature.