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Tb and anal fistulas

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    Tuberculosis is one of the causes of granulomatous disease within the anorectal region. The clinical features, which include symptoms and signs of anal pain or discharge, multiple or recurrent fistula in ano and inguinal lymphadinopathy, are not characteristically distinct from other anal lesions. It is also difficult to distinguish it from other granulomatous diseases involving the same area. Analysis of the available literature shows that Koch's lesion in and around the anus is not uncommon.
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    THE RELATIONSHIP OF TUBERCULOSIS TO FISTULA IN ANO

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    THE RELATIONSHIP OF TUBERCULOSIS TO FISTULA IN ANO | JAMA | JAMA Network

    The relationship of tuberculosis to fistula in ano has long been the subject of considerable acrimonious discussion. At present there is a wide difference of opinion as to the extent of this relationship, reports varying from 1. Andreal 1 states that in 1, cases of fistula in ano, presented pulmonary tuberculosis either active or latent. He does not state how many of the fistulas were tuberculous in character. Gant 2 estimates that 10 per cent, of all rectal fistulas are tuberculous.
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    Perianal tuberculosis: A case report and review of the literature

    A year-old male presented with purulent discharge and pain in the perianal region. There was no history of fever or weight loss. The patient gave a history of being operated 14 times earlier for the same complaints.
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    In Western countries, tuberculous anal fistula may not be an issue because tuberculosis [TB] is not common, and this is a very rare form of extrapulmonary manifestation of TB. We aimed to analyse the clinical features of TB versus CD anal fistulas. Among patients who underwent anal fistula surgery from to , 87 patients with TB fistulas and patients with CD fistulas were included. Data on the annual incidence of TB and CD, as well as the clinical, pathological, ultrasonographic, colonoscopic and surgical data were analysed.
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