Anal fistula and hiv

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Does HIV status influence the anatomy of anal fistulas?

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Anorectal Pathology in HIV/AIDS-Infected Patients Has Not Be : Diseases of the Colon & Rectum

A year-old man presented with a nine-month history of recurrent discharge from the anal region. He also had a history of weight loss. Examination revealed multiple fistulas-in-ano. The patient initially refused an HIV screening test; but later agreed. The result revealed HIV positive. As a result of the stigmatization associated with the diagnosis, the patient bluntly refused to bring the wife for screening and that he was not going to inform the wife of his diagnosis.
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Individuals with impaired immunity are at higher risk of perianal diseases. Concerning complex anal fistulas impaired healing and complication rates are also higher. Definitive treatment of a fistula aims controlling the purulent discharge and prevents its recurrence. It depends mainly on the trajectory of the fistula and the underlying disease. We present a case of a HIV-positive patient with a complex extrasphincteric anal fistula who was treated successfully with fibrin glue application.
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PURPOSE: Although anorectal disease is common in human immunodeficiency virus-positive patients, little is known about the type and anatomic distribution of anal fistulas in this patient group. The aim of this study was to compare anatomic characteristics of anal fistulas in human immunodeficiency virus-positive patients with those in human immunodeficiency virus-negative patients by use of a retrospective chart review. Incomplete fistulas referred to those tracts arising from an internal opening into either a blind sinus or an undrained abscess cavity. Mean age of the human immunodeficiency virus-positive patient group was 37 years vs. Thirty-one human immunodeficiency virus-positive patients 52 percent were classified as having AIDS, and the remaining 29 patients 48 percent were asymptomatic.
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