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- Title
Chlamydial Proctitis in a Young Man Who Has Sex with Men: Misdiagnosed as Inflammatory Bowel Disease.
- Authors
Kyung Jin Lee; Jaeyeon Kim; Dong Hwan Shin; Jun Oh Jung; Seokyoung Koh; Ka Young Kim; Jae Min Lee
- Abstract
We report the case of a 20-year-old man with a 2-month history of anal pain and bloody rectal discharge. He was referred to our clinic of gastroenterology for suspected inflammatory bowel disease (IBD). The colonoscopy showed mucosal nodularities on the rectum and an anal tag. Because the colonoscopic findings were not consistent with the typical manifestations of IBD, we took an additional sexual history and performed studies for infectious proctitis, including serologic tests for Chlamydia trachomatis, Neisseria gonorrhoeae, and Treponema pallidum. He had homosexual experience, and the serologic tests and PCR of a rectal swab were positive for C. trachomatis infection. Finally he was diagnosed as having chlamydial proctitis and was treated with intramuscular ceftriaxone 250 mg in a single dose and doxycycline 100 mg orally twice daily for 7 days. After 2 months, he had no lower abdominal symptoms and his endoscopic findings were improved.
- Subjects
PROCTITIS; MEN who have sex with men; INFLAMMATORY bowel diseases; DISEASES
- Publication
Chonnam Medical Journal, 2015, Vol 51, Issue 3, p139
- ISSN
2233-7385
- Publication type
Article
- DOI
10.4068/cmj.2015.51.3.139