Proctitis: An Approach to the Symptomatic Patient.

Med Clin North Am

Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine.

Published: March 2024


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Article Abstract

Proctitis is an inflammatory condition of the distal rectum that can be associated with common sexually transmitted infections (STIs), such as gonorrhea, chlamydia, and syphilis. For persons presenting with ulcerative findings on examination, in addition to syphilis, Mpox, lymphogranuloma venereum, and herpes simplex virus should be in the differential. Providers should also be aware that there are evolving data to support a role for Mycoplasma genitalium in proctitis. Performing a comprehensive history, clinical evaluation including anoscopy, and rectal nucleic amplification STI testing may be useful in identifying the cause of proctitis and targeting treatment.

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http://dx.doi.org/10.1016/j.mcna.2023.09.002DOI Listing

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