1/8. Therapeutic regimens for anorectal gonococcal infection in males.Anorectal gonococcal infection is particularly prevalent in women and homosexual men. Although the currently recommended public health Service therapeutic regimens for uncomplicated gonorrhea appear to be effective also for anorectal gonorrhea in women, their efficacy for anorectal infection in men has not been adequately evaluated. We report a case of gonococcal proctitis in a homosexual man that did not respond to therapy with ampicillin plus probenecid and tetracycline, but subsequently responded to spectinomycin therapy. Currently available therapeutic regimens for anorectal gonococcal infection in males are reviewed.- - - - - - - - - - ranking = 1keywords = proctitis (Clic here for more details about this article) |
2/8. Multiple co-existing sexually transmitted diseases in a bisexual man.The authors report an interesting and instructive case of a bisexual man with four concurrent sexually transmissible infections: secondary syphilis, genital herpes, gonococcal proctitis, and asymptomatic chlamydial urethritis. The case illustrates the necessity for a systematic approach to the diagnosis and management of multiple co-existing sexually transmitted diseases, and it underscores the importance and difficulty of contact-tracing in this patient population.- - - - - - - - - - ranking = 1keywords = proctitis (Clic here for more details about this article) |
3/8. Superimposed traumatic and gonococcal proctitis: report of two cases.Two men sought treatment at an emergency room with apparent gonococcal proctitis. Further evaluation after failure of antibiotic therapy in both patients revealed that rectal damage resulting from the patients' sexual habits had resulted in a severe traumatic proctitis. The discovery of several organisms, including neisseria gonorrhoeae and two nonpathogenic amebas, was probably only incidental. Two points are emphasized: the importance of obtaining a complete sexual history for every patient treated for venereal disease, and the inherent complications associated with anorectal manipulation.- - - - - - - - - - ranking = 6keywords = proctitis (Clic here for more details about this article) |
4/8. proctocolitis caused by concurrent amoebiasis and gonococcal infection. The "gay bowel syndrome".The simultaneous occurrence of amoebic proctocolitis and gonococcal proctitis in a male homosexual in Sydney is reported. attention is drawn to the occurrence of multiple or sequential venerally transmitted intestinal infections among male homosexuals.- - - - - - - - - - ranking = 1keywords = proctitis (Clic here for more details about this article) |
5/8. Isolation of neisseria meningitidis from anogenital sites in adolescents: clinical implications.neisseria meningitidis is being increasingly isolated from the urethra, cervix, and anal canal of sexually active individuals. We found a similar phenomenon in inner-city black and Hispanic adolescents. In 1981, cultures of 92 isolates of Neisseria were made from the anogenital region of sexually active adolescents; 81 (88.0%) were N. gonorrhoeae, 3 (3.3%) could not be speciated, and 8 (8.7%) were N. meningitidis. Since N. meningitidis has been associated with urethritis and pelvic inflammatory disease, it should be considered a pathogen when identified in the urethra or cervix and should be appropriately treated. The health implications of isolating N. meningitidis from the anal canal are less clear, although it has been rarely associated with proctitis. Neisseria isolates from anogenital sites cannot be assumed to be gonococci and, therefore, should be distinguished from N. meningitidis.- - - - - - - - - - ranking = 1keywords = proctitis (Clic here for more details about this article) |
6/8. Radiographic findings of infectious proctitis in homosexual men.Homosexual men are known to have an increased incidence of sexually transmitted proctitis. A knowledge of the pathogenesis and the radiographic appearance of these processes has resulted in earlier diagnosis and more rapid institution of appropriate therapy. While gonococcus (neisseria gonorrhoeae) and lymphogranuloma venereum (usually Chlamydia) have long been considered the common etiologies of proctitis in this population, other organisms, such as herpes, mycoplasma, and Entamoeba have been implicated and could give an identical radiographic and clinical pattern. Diffuse narrowing and ulceration limited to the rectum was seen in five affected homosexual men recently studied at Northwestern Memorial Hospital, chicago.- - - - - - - - - - ranking = 6keywords = proctitis (Clic here for more details about this article) |
7/8. The etiology of anorectal infections in homosexual men.The infectious etiology of symptomatic anorectal disease was studied in 52 homosexual men who did not have gonococci on initial Gram stain of anorectal exudate. herpes simplex virus (HSV) was isolated from the anal canal or rectum in 15 of the 52 (29 percent) men and characteristically caused severe anorectal pain and focal ulcerations visible on sigmoidoscopy. Despite negative initial Gram stains, seven men (14 percent) had anorectal gonococcal infection. Six (12 percent) had syphilis, including two with dark-field positive anal lesions. Four were infected with enteric pathogens, including giardia lamblia, entamoeba histolytica or campylobacter fetus ssp. jejuni. chlamydia trachomatis (LGV 2 strain) was isolated from one patient with severe granulomatous proctitis. One or more etiologic pathogens were identified in 28 (67 percent) of 42 men who had anorectal leukocytic exudate and in two of 10 who did not (p = 0.01). A review of the prominent features of different etiologic forms of anorectal infection in homosexuals is presented.- - - - - - - - - - ranking = 1keywords = proctitis (Clic here for more details about this article) |
8/8. lymphogranuloma venereum and acute ulcerative proctitis.The lymphogranuloma venereum (LGV) L2 serotype of chlamydia trachomatis has been isolated from the rectums of three homosexual men with acute, primary ulcerative proctitis that responded to appropriate anti-chlamydial therapy. LGV is still present in the urban united states and must be considered in cases of acute ulcerative proctitis.- - - - - - - - - - ranking = 6keywords = proctitis (Clic here for more details about this article) |