Perianal ulcerative skin tuberculosis: A case report

Medicine
Shaofang WuXinmin Yu

Abstract

Ulcerative skin tuberculosis (TB) is a rare form of extrapulmonary TB. We present a case of a 65-year-old patient with perianal ulcer, which had been present for 1 year. Anamnesis revealed he had been persistently coughing for the same period of time. Histological examination of perianal skin showed necrotizing granulomatous lesions, acid-fast staining in sputum samples was ++++, TB antibody in the blood was positive, TB DNA test was positive, and chest scan that showed secondary pulmonary TB accompanied by possible pulmonary cavity formation in the 2 upper lungs. Anti-TB therapy with isoniazid, rifampicin, ethambutol, and pyrazinamide for 6 months. The skin ulcer completely healed after 6 months. TB should be suspected for nonhealing ulcers. Pertinent studies should be done early during the lesion; finally, TB treatment should be initiated immediately after diagnosis is made.

References

Mar 14, 2007·Clinics in Dermatology·Francisco G Bravo, Eduardo Gotuzzo
Aug 3, 2010·The Journal of Dermatological Treatment·Hongsheng WangPangen Cui
Nov 4, 2011·The American Journal of Tropical Medicine and Hygiene·Dorothy Yeboah-ManuGerd Pluschke
Aug 23, 2012·Journal of Infection in Developing Countries·Alejandro Hernández SolisRaúl Cícero Sabido
Jan 29, 2014·Indian Journal of Dermatology·Sangita Ghosh Arshdeep

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Methods Mentioned

BETA
biopsy
PCR
chip

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