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Patient case: Anorectal Abscess

Discussion

A 30-year-old man arrived at a community health clinic in sub-Saharan Africa, complaining of severe pain in the anal region that had worsened over the past week. He reported difficulty sitting and walking, as well as fever and chills. The patient mentioned having noticed swelling and redness around the anus, along with occasional drainage of pus.

During the examination, the healthcare worker found a tender, swollen area near the anal opening, indicative of an abscess. The patient expressed concern about the pain and discomfort, which had made it difficult for him to work and care for his family.

Given the diagnosis of an anorectal abscess, the healthcare team explained the need for incision and drainage to alleviate the infection and relieve pain. They provided education on hygiene practices and aftercare, while also arranging for the patient to receive the necessary surgical intervention at a nearby hospital. The patient left the clinic with reassurance and hope for recovery.

Questions
1. What is the most common cause of anorectal abscesses?

- A). Fungal infection

- B). Anal fissures

- C). Obstruction of anal glands

- D). Sexually transmitted infections

 

 

 

 

2. Which symptom is most commonly associated with an anorectal abscess?

- A). Diarrhea

- B). Severe anal pain

- C). Constipation

- D). Itching around the anus

3. What is the first-line treatment for an anorectal abscess?

- A). Oral antibiotics

- B). Incision and drainage

- C). Warm sitz baths

- D). Topical analgesics

4. Which of the following is a potential complication of an untreated anorectal abscess?

- A). Chronic constipation

- B). Fistula formation

- C). Hemorrhoids

- D). Anal warts

Reveal answers

Answers

  1. C). Obstruction of anal glands
  2. B). Severe anal pain
  3. B). Incision and drainage
  4. B). Fistula formation