Surgical Management for Perianal Infection in Immunosuppressed Patients

Abstract

Purpose : Treatment of perianal infection with febrile neutropenia is still controversial. The aim of this study is to investigate the efficacy of surgical intervention and the prognosis of patients with perianal infection with febrile neutropenia. By reviewing the previous literature, we searched for the appropriate treatment for this disease. Subjects & Method : Consecutive nine patients with perianal infection with febrile neutropenia were retrospectively reviewed. Their ages ranged from 18 to 75 and there were eight men and one woman. Results : All patients were affected with hematological diseases with neutropenia. Five of them had undergone bone marrow transplantation, three, chemotherapy, and one who presented neutrspenia due to the underlying disease. All patients were diagonosed as having perianal infection with febrile neutropenia because of perianal pain and fever. Seven of nine patients underwent incision and drainage of the perianal region. Of the seven patients, serous discharge was noted in four patients and pus discharge, in the remaining three. One patient in whom perianal pain recurred required re-incision, with resultant serous discharge again. After the surgery, all seven patients were relieved from fever and perianal pain, and the infection was put under control. Conclusion : Surgical management for perianal infection with febrile neutropenia was effective in controlling infection and relieving the symptoms.