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Infectious proctitis due to syphilis and chlamydia: an exuberant presentation
Mafalda Sousa1, Rolando Pinho2, Adélia Rodrigues3
1Department of Gastroenterology, Centro Hospitalar de Vila Nova de Gaia e Espinho, Portugal.
Revista Espanola De Enfermedades Digestivas
|September 24, 2019
Summary
Sexually transmitted infections causing proctitis are rising, especially in men who have sex with men. Prompt diagnosis of syphilitic and chlamydial proctitis is crucial to avoid misdiagnosis as other anorectal conditions.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Sexual Health
Background:
- Sexually transmitted diseases (STDs) are increasingly implicated in infectious proctitis.
- Men who have sex with men (MSM) with rectal symptoms warrant consideration for STD-related proctitis.
Observation:
- This case highlights an extreme presentation of proctitis caused by syphilis and chlamydia.
- The severe symptoms mimicked other anorectal pathologies, including inflammatory proctitis and neoplasms.
Findings:
- Accurate diagnosis requires a thorough clinical history, emphasizing sexual history.
- Syphilitic and chlamydial proctitis can present with unusually severe and diverse symptoms.
Implications:
- Early consideration of STDs in proctitis cases, particularly in MSM, is vital.
- Misdiagnosis can be avoided by integrating sexual health history into the diagnostic process.
- Recognizing exuberant STD proctitis prevents delayed treatment and potential complications.
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