Anorectovaginal fistula in a woman due to anogenital tuberculosis

C-reactive protein concentration was 20·1 mg/L (normal range 0–5 mg/L), and the erythrocyte sedimentation rate was 92 mm/h (normal range 0–21 mm/h). Pelvic CT scans done on her second hospital admission showed intestinal adhesions, thickening of the intestinal wall and anal tube, and pelvic lymphadenectasis. Tuberculous perianal abscesses have no clinical features distinct from abcesses of a different cause, and general antibiotics are ineffective for its treatment. [...]adequate microbiological testing is indispensable for a correct diagnosis and to guide the administration of antibiotics after surgery.