title: Sexually transmitted infections manifesting as proctitis.
abstract: There is a rising incidence of several sexually transmitted infections (STIs), many of which can present with proctitis. Causative organisms includeNeisseria gonorrhoeae,Chlamydia trachomatis, herpes simplex virus,Treponema pallidum(syphilis),Giardia lamblia(giardiasis) andEntamoeba histolytica(amoebiasis). This paper outlines important clinical discriminators and key investigations to distinguish these organisms from non-infective pathology that include inflammatory bowel disease, solitary rectal ulcer syndrome and Behçet's syndrome. Management of these infections is described and suggestions are made for successful gastroenterology clinical consultation when an STI is suspected.
authors.affiliation: Institute of Cellular Medicine , Newcastle University, Newcastle upon Tyne , UK ; Department of Gastroenterology , Newcastle upon Tyne Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK.
authors.forename: Chris A
authors.initials: CA
authors.lastname: Lamb
authors.forename: Elizabeth Iris Mary
authors.initials: EI
authors.lastname: Lamb
authors.forename: John C
authors.initials: JC
authors.lastname: Mansfield
authors.forename: K Nathan
authors.initials: KN
authors.lastname: Sankar
keywords: Crohn's Disease; Infective Colitis; Inflammatory Bowel Disease; Parasitic Diseases; Ulcerative Colitis
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