Tuberculosis: A Rare Entity of Anal Disease

Ho Hui Lian, Hud Zin, Firdaus Hayati, Nornazirah Azizan, Khasnizal Abd Karim

Abstract: Tuberculosis (TB) is a common infectious granulomatous disease in Malaysia, especially Sabah. Anal TB is extremely rare, approximately less than 1% of the cases. It can present as fistula-in-ano, ulcer, stricture, and even mass. The diagnosis can be established via bacteriological, histopathological and molecular methods; even Mantoux test, chest radiography and ESR occasionally are not helpful. Anti-TB medication is the primary line of treatment as surgery alone is inadequate. We present a case of anal TB presented with nodular mass with ulcerated surface mimicking malignancy, our management strategies and review of the literature. Keywords: Extra-pulmonary, anal tuberculosis, anal mass, ulcerated mass. Title: Tuberculosis: A Rare Entity of Anal Disease Author: Ho Hui Lian, Hud Zin, Firdaus Hayati, Nornazirah Azizan, Khasnizal Abd Karim International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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Tuberculosis: A Rare Entity of Anal Disease by Ho Hui Lian, Hud Zin, Firdaus Hayati, Nornazirah Azizan, Khasnizal Abd Karim