A CLINICO.PATHOLOGICAL STUDY OF ANAL FISTULAE

Anal Fbtuh
Rwtuwofhturatuft
Reqardine patient
AIDS patients, those on steriods or patients from endemic areas (Bode
et ilL., 1982).
f,
Resardins local clinical criteria
Detection of abscess in presence of a suspicious ulcer, indruation or
anal stenosis may be suggestive (Keighley, 1993).
If external opening on the skin is ragged, induration is mild or absent
and if the discharge is watery (Farthing et aI,I993).
Unsuspected tuberculous anorectal lesion may b€ the cause of
recurrent anorEctal sepsis and recunent fisfulae after adequate surgery
(chrabot et aL, 1983).
fl,
Resolution of tuberculous anorectal manifestations can be expected
foll owin g chernothera py ( F art h ing et n L, I I I 3 ) .
B- Actinomycosis
caused by actinomyces israelli anaErobic branching gram positive
organism normally found in mouth.
l
Actinomycosis of rectum is very rare it may be prinary or secondary
following spread from proximal bowel involvement.
#
Presented by indurated perineum with multiple fistulae discharging
the typical actinomycotic pus containing sulphur granules.
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