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Anoperineal Tuberculosis
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Accounting for only 1% of gastrointestinal tuberculosis-which itself accounts for less than 1% of all tuberculosis cases-anoperineal tuberculosis is likely significantly underdiagnosed. Its clinical presentation, which mimics common proctological conditions such as cryptoglandular anal fistulas, Crohn's disease, or even neoplasms, frequently leads to misdiagnosis.This diagnostic delay is not trivial. It exposes patients to repeated proctological surgeries with an increased risk of anal incontinence, whereas properly administered antituberculosis medical treatment leads to a complete cure in nearly all cases.This book, based on a review of the international literature, aims to provide an overview of this condition. It is intended for gastroenterologists, proctologists, digestive surgeons, infectious disease specialists, and all clinicians likely to encounter this diagnostic entity in countries where tuberculosis is endemic, such as Tunisia.
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