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CASE REPORT
Year : 2013  |  Volume : 1  |  Issue : 3  |  Page : 138-140

A rural medical college perspective for treating pulmonary and extrapulmonary tuberculosis in a hepatitis surface antigen (HBsAg) positive patient


1 Department of Surgery, Bharati Medical College, Sangli, Maharashtra, India
2 Department of Pathology, Bharati Medical College, Sangli, Maharashtra, India

Correspondence Address:
Vinod Prabhu
"Shreyas", Behind Central Warehouse, Miraj, Sangli District - 416 410, Maharashtra
India
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DOI: 10.4103/1658-600X.120853

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Pulmonary tuberculosis (TB) still forms a challenge in developing countries due to various forms of presentation, in spite of efforts taken by governments, non-governmental organisations (NGOs) and medical staff. Extrapulmonary TB is about 5% of all cases of TB, out of which perianal lesions constitute about 0.7%. The presence of hepatitis B surface antigen (HBsAg) positive disease with tuberculosis poses a challenge from both diseases, as regards the dilemma of treating the tubercular lesion with respect to hepatitis B surface antigen (HBsAg) positivity because of the compounding hepatotoxicity of anti-tubercular drugs and complications of cirrhosis and hepatocellular carcinoma. This is further complicated by a tuberculin test negativity, which in turn indicates a diminished immune status. This case report discusses a case of pulmonary and extrapulmonary (perianal) tuberculosis in a HBsAg positive patient.


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