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[Digestive localizations of sexually transmitted diseases in male homosexuals]
Abstract:
The common practice of sexual relations with many different and anonymous partners and the great variety of responsible micro-organisms account for the high incidence, growing complexity and uneasy prevention of sexually transmitted diseases of the digestive tract in male homosexuals. Syphilis, gonorrhoea, papillomas, chancroid, donovanosis, herpes virus or Chlamydia infections are known to be transmitted by anal coitus; amebiasis, giardiasis and shigellosis by oro-anal contact (faecal contamination). Still under discussion, however, are the predominant mode of transmission of Campylobacter jejuni, the true frequency in homosexuals of intestinal anguilluliasis, oxyuriasis and salmonellosis and the anorectal pathogenicity of Neisseria meningitidis, intestinal spirochetes, Mycoplasma homini, Ureaplasma urealyticum and Campylobacter-like organisms. Diagnosis is difficult since these infections are polymicrobial as a rule and often clinically asymptomatic or atypical and may be further modified by features of the acquired immunodeficiency syndrome, traumatic lesions or anorectal tumours. Microbiological examination is an essential prerequisite to rational treatment.
Insights
Sexually transmitted digestive tract infections are common in gay men due to multiple partners and diverse microbes. Diagnosis is challenging, requiring microbiological examination for effective treatment.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Public Health
Context:
- Male homosexuals engage in sexual practices increasing risk for gastrointestinal infections.
- A wide array of microorganisms contribute to the complexity of these diseases.
- Prevention remains a significant challenge due to transmission routes and microbial diversity.
Purpose:
- To review the incidence, transmission, and diagnosis of sexually transmitted digestive tract infections in male homosexuals.
- To highlight the challenges in diagnosis and treatment of these polymicrobial infections.
- To emphasize the role of microbiological examination in guiding treatment strategies.
Summary:
- Anal coitus transmits infections like syphilis, gonorrhea, and Chlamydia.
- Oro-anal contact facilitates transmission of amebiasis, giardiasis, and shigellosis.
- Transmission routes for Campylobacter jejuni, intestinal anguilluliasis, oxyuriasis, and salmonellosis require further investigation.
Impact:
- Understanding transmission dynamics is crucial for developing targeted prevention strategies.
- Recognizing polymicrobial nature and asymptomatic presentations aids in accurate diagnosis.
- Microbiological diagnostics are essential for appropriate and effective patient management.