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Infectious proctitis: a necessary differential diagnosis in ulcerative colitis
Ana L Santos1,2,3, Rosa Coelho4,5,6, Marco Silva4,5,6
1Gastroenterology Department, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, 4200-019, Porto, Portugal. anaasantos89@gmail.com.
International Journal of Colorectal Disease
|November 8, 2018
Summary
Infectious proctitis (IP), a rising concern, mimics inflammatory bowel disease (IBD) symptoms. Early diagnosis and treatment, considering co-infections, are vital for patient and partner health.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Proctology
Background:
- Sexually transmitted infections, including infectious proctitis (IP), are increasing.
- IP symptoms overlap with inflammatory bowel disease (IBD), complicating diagnosis.
- Risk factors like anal intercourse necessitate considering IP in differential diagnoses.
Observation:
- Symptoms of IP include rectal bleeding, mucous discharge, and anorectal pain.
- Clinical presentation can overlap with IBD, requiring thorough evaluation.
- Diagnostic tools include history, physical exam, rectosigmoidoscopy, histology, serology, and culture.
Findings:
- Empirical antibiotic or antiviral treatment may be initiated based on suspected etiology.
- Testing for co-infections, including HIV, is essential.
- Sexual partners require treatment to prevent reinfection and further transmission.
Implications:
- Highlights the importance of considering IP in patients with suspected IBD and risk factors.
- Emphasizes the need for comprehensive diagnostic workup to differentiate IP from IBD.
- Underscores the public health imperative of treating IP and associated co-infections and partners.
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