Clin Colon Rectal Surg 2007; 20(1): 058-063
DOI: 10.1055/s-2007-970201
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Sexually Transmitted Proctitides

Matthew L. Voth1 , Robert P. Akbari1
  • 1Division of Colorectal Surgery, Department of Surgery, Western Pennsylvania Hospital, Clinical Campus of Temple University School of Medicine, Pittsburgh, Pennsylvania
Further Information

Publication History

Publication Date:
28 February 2007 (online)

ABSTRACT

Patients with sexually transmitted proctitides are increasingly presenting to doctors' offices. This may be secondary to increasing numbers of individuals participating in anal receptive intercourse and a rise in the incidence of sexually transmitted diseases. Although the sexually transmitted proctitides represent a small proportion of the overall number of cases of new proctitis, in certain populations the incidence of these diseases as causative agents is quite high, especially among men who have sex with men. Common causative agents include Neisseria gonorrhoeae, Chlamydia trachomatis, Treponema pallidum, and herpes simplex. Diagnosis may often be made on clinical grounds alone, and treatment requires antibiotics or antivirals. The clinician must remember to keep these diseases in mind while formulating a differential for the cause of proctitis.

REFERENCES

  • 1 Valleroy L A, MacKellar D A, Karon J M et al.. HIV prevalence and associated risks in young men who have sex with men. Young Men's Study Survey Group.  JAMA. 2000;  284 198-204
  • 2 Fenton K A, Imrie J. Increasing rates of sexually transmitted diseases in homosexual men in Western Europe and the United States: why?.  Infect Dis Clin North Am. 2005;  19 311-331
  • 3 Cohen J, Powderly W G. Infectious Diseases. 2nd ed. St. Louis; Mosby 2004
  • 4 Modesto V L, Gottesman L. Sexually transmitted diseases and anal manifestations of AIDS.  Surg Clin North Am. 1994;  74 1433-1464
  • 5 Sexually transmitted diseases treatment guidelines 2002.  MMWR Recomm Rep. 2002;  51(RR-6) 1-78
  • 6 Sexually Transmitted Disease Surveillance 2003 Supplement .Atlanta, GA; Centers for Disease Control and Prevention 2004
  • 7 Miller W C, Zenilman J M. Epidemiology of chlamydial infection, gonorrhea, and trichomoniasis in the United States-2005.  Infect Dis Clin North Am. 2005;  19 281-296
  • 8 Boisvert J F, Koutsky L A, Suchland R J, Stamm W E. Clinical features of Chlamydia trachomatis rectal infection by serovar among homosexually active men.  Sex Transm Dis. 1999;  26 392-398
  • 9 Centers for Disease Control and Prevention . Screening tests to detect Chlamydia trachomatis and Neisseria gonorrhoeae infections 2002.  MMWR Recomm Tep. 2002;  100 579-584
  • 10 Surawicz C M. The role of rectal biopsy in infectious colitis.  Am J Surg Pathol. 1988;  12(Suppl 1) 82-88
  • 11 Fischbach F T. Syphilis detection tests. In: A Manual of Laboratory & Diagnostic Tests. 6th ed. Philadelphia; Lippincott 2000: 581-583
  • 12 Spruance S. Cold sores: a new understanding of their pathophysiology and the need for a new treatment.  Virus Life. 1996;  June 7-10
  • 13 Fleming D T, McQuillan G M, Johnson R E et al.. Herpes simplex virus type 2 in the United States, 1976 to 1994.  N Engl J Med. 1997;  337 1105-1111
  • 14 Goodell S E, Quinn T C, Mkrtichian E, Schuffler M D, Holmes K K, Corey L. Herpes simples virus proctitis in homosexual men.  N Engl J Med. 1983;  308 868-871
  • 15 Yeung-Yue K A. Herpes simplex viruses 1 and 2.  Dermatol Clin. 2002;  20 249-266
  • 16 Ashley R L. Genital herpes. Type-specific antibodies for diagnosis and management.  Dermatol Clin. 1998;  16 789-793

Robert P AkbariM.D. 

Department of Surgery, Western Pennsylvania Hospital

4800 Friendship Ave., Pittsburgh, PA 15224

Email: rakbari@wpahs.org

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