Chlamydial Proctitis in a Young Man Who Has Sex with Men: Misdiagnosed as Inflammatory Bowel Disease
10.4068/cmj.2015.51.3.139
- Author:
Kyung Jin LEE
1
;
Jaeyeon KIM
;
Dong Hwan SHIN
;
Jun Oh JUNG
;
Seokyoung KOH
;
Ka Young KIM
;
Jae Min LEE
Author Information
1. Department of Internal Medicine, National Police Hospital, Seoul, Korea. kimjaeyeon@gmail.com
- Publication Type:Case Report
- Keywords:
Proctitis;
Chlamydia trachomatis;
Inflammatory bowel diseases;
Lymphogranuloma venereum;
Sexually transmitted diseases
- MeSH:
Ceftriaxone;
Chlamydia trachomatis;
Colonoscopy;
Doxycycline;
Gastroenterology;
Homosexuality;
Humans;
Inflammatory Bowel Diseases;
Lymphogranuloma Venereum;
Male;
Neisseria gonorrhoeae;
Polymerase Chain Reaction;
Proctitis;
Rectum;
Serologic Tests;
Sexually Transmitted Diseases;
Treponema pallidum;
Young Adult
- From:Chonnam Medical Journal
2015;51(3):139-141
- CountryRepublic of Korea
- Language:English
-
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.
