Sexually transmitted proctitis

Abstract

Sexually transmitted infections such as chlamydia, gonorrhoea, herpes simplex virus and syphilis commonly present with rectal symptoms. Recent outbreaks of lymphogranuloma venereum among homosexual men throughout Europe highlight the need to consider sexually transmitted infections in the differential diagnosis of proctitis. This article examines the causative organisms, clinical features, diagnosis and treatment of sexually transmitted proctitis.

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

“…The majority (>80%) of rectal STIs are asymptomatic (297) and are a reservoir for onward transmission and increase the risk of HIV acquisition and transmission (298,299). Treatment results in a reduction in onward transmission of the infection (300) as well as of HIV (298).…”

Anorectal syphilis mimicking Crohn’s disease

“…Proctitis has several infectious and noninfectious causes, the infectious pathogens typically being sexually acquired. Chlamydia, gonorrhoea, herpes simplex virus, and syphilis are among the sexually transmitted infections that can cause anorectal disease [1]. Primary anorectal syphilis is a rare disease.…”

“…Although anorectal chancre may be asymptomatic, it may present with itching, bleeding, rectal discharge, constipation, and tenesmus [1,2]. In the secondary stage of syphilis, rectal mass, condyloma lata and/ or mucous patches can be observed [3].…”

Proctite Infeciosa: Valorizar o Diagnóstico Diferencial

“…A proctite infeciosa resulta frequentemente de agentes adquiridos por esta via de transmissão. 1 Caracteriza-se pela presença de tenesmo, retorragia, dor ou desconforto anorretal, urgência defecatória, obstipação, entre outros sintomas. A sintomatologia pode variar de acordo com o agente ou o processo patológico, mas pode mimetizar outras patologias inflamatórias, o que dificulta o diagnóstico.…”