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[Gonorrheal proctitis imitating proctalgia fugax].

A Nechvátal1, T Masek, J Hoch

  • 1Dermatovenerologická klinika 2. LF UK a FNB, Praha. anechvatal@seznam.cz

Casopis Lekaru Ceskych
|June 29, 2004
PubMed
Summary

Proctalgia fugax, a rectal pain condition, can be challenging to diagnose. This case report identifies gonorrheal proctitis as a cause, successfully treated with ceftriaxone.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Proctology

Background:

  • Proctalgia fugax presents diagnostic challenges, often obscuring underlying causes of rectal pain.
  • Identifying the etiology of proctalgia fugax is crucial for effective therapeutic interventions.

Observation:

  • A 27-year-old female presented with severe, cramp-like rectal pain.
  • Surgical examination was initially considered due to the localized nature of the pain.

Findings:

  • Detailed history and laboratory tests revealed the cause to be gonorrheal proctitis.
  • The patient's symptoms resolved following treatment with ceftriaxone.

Implications:

  • Gonorrheal proctitis should be considered in the differential diagnosis of proctalgia fugax.
  • Prompt diagnosis and antibiotic treatment (ceftriaxone) can effectively manage this condition.

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