Open AccessThe Etiology of Infectious Proctitis in Men Who Have Sex With Men Differs According to HIV Status
Author(s) -
Melanie Bissessor,
Christopher K. Fairley,
Timothy H. R. Read,
Ian Denham,
Catriona Bradshaw,
Marcus Chen
Publication year - 2013
Publication title -
sexually transmitted diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.507
H-Index - 105
eISSN - 1537-4521
pISSN - 0148-5717
DOI - 10.1097/olq.0000000000000022
Subject(s) - proctitis , medicine , lymphogranuloma venereum , men who have sex with men , chlamydia , etiology , gonorrhea , herpes simplex virus , human immunodeficiency virus (hiv) , chlamydia trachomatis , anal sex , gastroenterology , syphilis , dermatology , gynecology , immunology , virus , disease , ulcerative colitis
We compared the spectrum of pathogens responsible for infectious proctitis between HIV-positive and HIV-negative men who have sex with men. Only 32% of men with herpes simplex virus (HSV)-associated proctitis had visible external anal ulceration.The etiology of infectious proctitis among HIV-positive and HIV-negative men is as follows: chlamydia (23.4% vs. 21.7%, P = 0.7), gonorrhea (13.4% vs. 10.8%, P = 0.5), HSV-1 (14.2% vs. 6.5%, P = 0.04), HSV-2 (22% vs. 12.3%, P = 0.03), lymphogranuloma venereum (7.8% vs. 0.7%, P = 0.004), and multiple infections (17.7% vs. 8.6%, P = 0.017). Thirty-two percent with HSV proctitis had external anal ulceration.