{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T05:22:33Z","timestamp":1770873753278,"version":"3.50.1"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Extra\u2010pulmonary tuberculosis accounts for less than 15% of all tuberculosis cases, while intestinal tuberculosis accounts for less than 1% of extra\u2010pulmonary forms of the disease. Abdominal organ involvement is more common, but extension to the ano\u2010perineal region is extremely rare. We report a case of a 13\u2010year\u2010old child with an anal fistula without any other signs suggestive of tuberculosis. Diagnosis was confirmed by histopathological examination of the excised fistula and a positive GeneXpert test on fistula material. The initial work\u2010up ruled out Crohn's disease and other localizations secondary to tuberculosis, so the patient was put on anti\u2010tubercular drugs. Six months after the start of treatment, the lesion had completely disappeared, and no recurrence occurred after 8 months of follow\u2010up. Tuberculosis should generally be considered in the differential diagnosis of anal and perianal fistula despite the rarity of this location. In most cases, treatment is primarily medical, with surgical intervention reserved for complications such as abscesses or persistent fistulas.<\/jats:p>","DOI":"10.1002\/jpr3.70104","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T04:02:31Z","timestamp":1761624151000},"page":"47-50","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Isolated anal tuberculosis presenting as an anal fistula in an immunocompetent child"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7575-3881","authenticated-orcid":false,"given":"Mariam","family":"Lagrine","sequence":"first","affiliation":[{"name":"Department of Pediatrics University Hospital Center Mohammed VI Marrakech Morocco"},{"name":"Child Health and Development Research Unit Cadi Ayyad University Marrakech Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabiy","family":"Elqadiry","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University Hospital Center Mohammed VI Marrakech Morocco"},{"name":"Child Health and Development Research Unit Cadi Ayyad University Marrakech Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houda","family":"Nassih","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University Hospital Center Mohammed VI Marrakech Morocco"},{"name":"Child Health and Development Research Unit Cadi Ayyad University Marrakech Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aicha","family":"Bourrahouat","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University Hospital Center Mohammed VI Marrakech Morocco"},{"name":"Child Health and Development Research Unit Cadi Ayyad University Marrakech Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imane","family":"Ait Sab","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University Hospital Center Mohammed VI Marrakech Morocco"},{"name":"Child Health and Development Research Unit Cadi Ayyad University Marrakech Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1086\/651490"},{"issue":"7","key":"e_1_2_8_3_1","first-page":"401","article-title":"Tubercular fistula\u2010in\u2010ano","volume":"18","author":"Bokhari I","year":"2008","journal-title":"J Coll Physicians Surg Pak"},{"key":"e_1_2_8_4_1","first-page":"124","article-title":"Perianal tuberculosis: a rare disease of late diagnosis","volume":"34","author":"Neto I","year":"2014","journal-title":"J Col"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2006.11.005"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6191-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750114"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0399-8320(07)89334-1"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v13.i4.355"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgstr.2023.1129715"}],"container-title":["JPGN Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.70104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jpr3.70104","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.70104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T04:58:32Z","timestamp":1770872312000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpr3.70104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,27]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/jpr3.70104"],"URL":"https:\/\/doi.org\/10.1002\/jpr3.70104","archive":["Portico"],"relation":{},"ISSN":["2691-171X","2691-171X"],"issn-type":[{"value":"2691-171X","type":"print"},{"value":"2691-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,27]]},"assertion":[{"value":"2025-06-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}