The gastrointestinal (GI) tract has been increasingly affected by tuberculosis, especially in immunocompromised patients. Although strict rectal involvement is rare, the GI site mostly affected is the ileocecal region. Thus, tuberculosis should always be considered in the differential diagnosis of perianal and rectal lesions, and more so in patients infected by the HIV virus. The authors report the case of a 32-year-old man presenting a long-term history of fever, night sweats, weight loss, bloody diarrhea, fecal incontinence, tenesmus, and rectal pain. HIV serology was positive. The patient underwent anoscopy and biopsy, which disclosed the diagnosis of rectal tuberculosis. Thus the patient was referred to an outpatient clinic to follow the standard treatment.
BarretoJBP, Carneiro NetoJD, Lima FilhoPWL, SouzaYLMS. Tuberculose entérica com fístula colo-cutânea espontânea: relato de caso. Rev Bras Coloproct. 2003;23:108-11. Portuguese.
Torres Filho SR. Tuberculose. In: Tavares W, Marinho LAC, editors. Rotinas de diagnóstico e tratamento das doenças infecciosas e parasitárias. São Paulo: Atheneu; 2005. p. 1023-40. Portuguese.
TovoCV, MondinM, SchneiderNC, DamoDF. Tuberculose intestinal: relato de dois casos. Mom & Perspec Saúde. 2003;16:32-5. Portuguese.
Neves JS, Dettoni VV, Pissinali CS, Peçanha PM. Tuberculose. In: Neves J, editor. Diagnóstico e tratamento das doenças infectuosas e parasitárias. 2nd ed. Rio de Janeiro: Guanabara Koogan; 1983. p. 496-524. Portuguese.
GuptaOP, DubeMK. Tuberculosis of gastroin-intestinal tract: with special reference to rectal tuberculosis. Indian J Med Res. 1970;58(8):979-84. PMid: [PMID:5494016].