Annals of Tropical Medicine and Public Health
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Year : 2016  |  Volume : 9  |  Issue : 4  |  Page : 273-275

Recurrent high fistula-in-ano: Think of tuberculosis!

1 Department of Microbiology, Indraprastha Apollo Hospitals, New Delhi, India
2 Department of General and Laproscopic Surgery, Indraprastha Apollo Hospitals, New Delhi, India

Correspondence Address:
Reetika Dawar
Department of Microbiology, Indraprastha Apollo Hospitals, Sarita Vihar, Delhi-Mathura Road, New Delhi - 110 076
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.184808

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A 41-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. Perioperative discharge showed acid-fast bacilli on Ziehl-Neelsen (ZN) stain. No pulmonary focus of tuberculosis (TB) was found. The patient was started on antitubercular treatment and has not reported any pain or discharge from the perianal region for the last 1 year. A high index of suspicion of TB should be kept in mind in perianal lesions, especially recurrent lesions, even when no primary focus is found. Surgery and medical treatment combined may be needed in such cases.

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