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Gonococcal perianal abscess: re-emergence after cessation of co-trimoxazole
  1. T Read1,
  2. A Mijch2,
  3. L Ostergaard3
  1. 1Melbourne Sexual Health Centre, 580 Swanston Street, Carlton, Victoria 3053, Australia
  2. 2Alfred Hospital, Prahran, Victoria 3181, Australia
  3. 3Research Unit Q, Department of Infectious Diseases, Aarhus University Hospital, Skejby Sygehus, DK-8200 Aarhus N, Denmark
  1. Correspondence to:
 T Read;

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We report a case of perianal abscess due to Neisseria gonorrhoeae, which appears to have been suppressed but not eradicated by chronic low dose co-trimoxazole for a period of almost 6 months between acquisition and diagnosis.

The patient was a 34 year old HIV infected homosexual man treated with didanosine, stavudine, and nevirapine with a HIV viral load of 500 copies per ml and a CD4 lymphocyte count of 280 × 106/l. He was taking co-trimoxazole 400 mg/80 mg once daily to prevent Pneumocystis carinii pneumonia (PCP).

He reported last …

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