Perianal ulcerative skin tuberculosis: A case report. Issue 22 (June 2018)

• Record Type: Journal Article
• Authors: Wu, Shaofang; Wang, Wu; Chen, Huan; Xiong, Wen; Song, Xin; Yu, Xinmin
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 22(2018)
• Publication Date: 2018-06
• Subjects: pulmonary tuberculosis -- skin tuberculosis -- ulcer; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000010836
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Ulcerative skin tuberculosis (TB) is a rare form of extrapulmonary TB. Case report: 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. Interventions: Anti-TB therapy with isoniazid, rifampicin, ethambutol, and pyrazinamide for 6 months. The skin ulcer completely healed after 6 months. Conclusion: 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.