Tb and anal fistulas

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Despite availability of several tests, early diagnosis of anal and perianal tuberculosis remains a challenge. Menezes N, Waingankar VS. The simplest rapid method for diagnosis of the disease, perhaps, is the detection of acid-fast bacilli by microscopy. The lesion may be very painful, or the patient may have few symptoms. The recommended surgical procedures today are conservative and a period of preoperative drug therapy is controversial. Anorectal tuberculosis disclosed by hemorrhoidal thrombosis. A meticulous clinical observation along with non cryptoglandular origin of fistula plays an important role in cases where histological evidences are not supportive for tuberculosis. In 5 of these 7 cases, the diagnosis of TB could be proven on histological examination and ZN staining, while in 2 cases the diagnosis could only be made on TB culture.


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