Abstract

Purpose A case of anal tuberculosis with a perianal growth and anal ulceration is presented. The clinical features and the diagnostic problems along with increasing incidence of new cases of tuberculosis are discussed. Methods The diagnosis, management and outcome of an adult male patient, who presented with perianal lesions are described. Results On a four drug anti-tuberculous regimen, the symptoms improved and perianal lesions healed. Conclusion Anal tuberculosis although extremely rare, can be manifested in various forms. A high index of suspicion of tuberculosis should be borne in mind in all cases of perianal lesions with vague etiology or with diagnostic problems, which should be confirmed by histological and bacteriological analysis and treated specifically.

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