Sexually transmitted infections manifesting as proctitis

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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.

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