The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
The Polymicrobial Origin of Intestinal Infections in Homosexual Men
Abstract
To determine the microbial cause and the clinical and pathologic correlates of anorectal and intestinal symptoms in homosexually active men, we performed comprehensive microbiologic studies, anoscopy, sigmoid-oscopy, and rectal biopsy in men examined in a clinic for sexually transmitted diseases. Enteric pathogens were found in 95 of 119 consecutive homosexual men with anorectal or intestinal symptoms and in 29 of 75 randomly selected homosexual men without such symptoms (P less than 0.001). The syndromes of proctitis, proctocolitis, and enteritis were differentiated on the basis of predominant symptoms and findings on anoscopy and sigmoidoscopy. Neisseria gonorrhoeae, herpes simplex virus, Chlamydia trachomatis (non-lymphogranuloma venereum serotypes), and Treponema pallidum were associated with 80 per cent of cases with symptomatic proctitis. Known causes of colitis, including Campylobacter jejuni, Campylobacter fetus fetus, Shigella flexneri, Chl. trachomatis (lymphogranuloma venereum serotypes), Entamoeba histolytica, and Clostridium difficile, were identified in 60 per cent of the cases of proctocolitis. Giardia lamblia was the only agent significantly correlated with enteritis. These data demonstrate that intestinal symptoms in homosexual men are attributable to a complex spectrum of microorganisms, but that careful clinical classification can serve as a guide to the selection of microbiologic studies and to a rational initial choice of therapy.
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Citations
Cites
Diagnostic Procedures for Viral, Rickettsial and Chlamydial Infections
Lennette, E. H., Lennette, D. A., & Lennette, E. T. (1989) · Virtual Defense Library (Ministerio de Defensa) · Cited by 2,353
Blaser, M. J., & Reller, L. B. (1981) · New England Journal of Medicine · doi:10.1056/nejm198112103052404 · Cited by 334
Yolken, R., Kim, H., Clem, T., Wyatt, R., Kalica, A., Chanock, R., & Kapikian, A. (1977) · The Lancet · doi:10.1016/s0140-6736(77)90951-5 · Cited by 331
Goodell, S. E., Quinn, T. C., Mkrtichian, E., Schuffler, M. D., Holmes, K. K., & Corey, L. (1983) · New England Journal of Medicine · doi:10.1056/nejm198304143081503 · Cited by 258
Self-citationANTIBIOTIC-INDUCED COLITIS IMPLICATION OF A TOXIN NEUTRALISED BY CLOSTRIDIUM SORDELLII ANTITOXIN
Rifkin, G. D., Fekety, F. R., Silva, J., & Sack, R. B. (1977) · The Lancet · doi:10.1016/s0140-6736(77)90547-5 · Cited by 257
Chlamydia trachomatis Proctitis
Quinn, T. C., Goodell, S. E., Mkrtichian, E., Schuffler, M. D., Wang, S.-P., Stamm, W. E., & Holmes, K. K. (1981) · New England Journal of Medicine · doi:10.1056/nejm198107233050404 · Cited by 253
Self-citationRisk factors for Kaposi's sarcoma in homosexual men
Marmor, M., Laubenstein, L., William, D., Friedman-Kien, A., Byrum, R. D., D'Onofrio, S., & Dubin, N. (1982) · The Lancet · doi:10.1016/s0140-6736(82)92275-9 · Cited by 238
Wang, S. P., Grayston, J. T., Alexander, E. R., & Holmes, K. K. (1975) · Journal of Clinical Microbiology · doi:10.1128/jcm.1.3.250-255.1975 · Cited by 210
Self-citationSexual Transmission of Enteric Protozoa and Helminths in a Venereal-Disease-Clinic Population
Phillips, S. C., Mildvan, D., William, D. C., Gelb, A. M., & White, M. C. (1981) · New England Journal of Medicine · doi:10.1056/nejm198109103051102 · Cited by 200
Microtest procedure for isolation of Chlamydia trachomatis
Yoder, B. L., Stamm, W. E., Koester, C. M., & Alexander, E. R. (1981) · Journal of Clinical Microbiology · doi:10.1128/jcm.13.6.1036-1039.1981 · Cited by 123
Self-citation
Cited by
Gardner, T. B., & Hill, D. R. (2001) · Clinical Microbiology Reviews · doi:10.1128/cmr.14.1.114-128.2001 · Cited by 565
The Association Between Genital Ulcer Disease and Acquisition of HIV Infection in Homosexual Men
Stamm, W. E. (1988) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1988.03410100119036 · Cited by 421
Self-citationInfections with Campylobacter jejuni and Campylobacter-like Organisms in Homosexual Men
QUINN, T. C., GOODELL, S. E., FENNELL, C., WANG, S.-P., SCHUFFLER, M. D., HOLMES, K. K., & STAMM, W. E. (1984) · Annals of Internal Medicine · doi:10.7326/0003-4819-101-2-187 · Cited by 145
Self-citationGlaser, C. A., Angulo, F. J., & Rooney, J. A. (1994) · Clinical Infectious Diseases · doi:10.1093/clinids/18.1.14 · Cited by 125
HIV Infection as a Risk Factor for Shigellosis1
Baer, J. T., Vugia, D. J., Reingold, A. L., Aragon, T., Angulo, F. J., & Bradford, W. Z. (1999) · Emerging infectious diseases · doi:10.3201/eid0506.990614 · Cited by 91
Metadata
- Authors
- Quinn, T. C., Stamm, W. E., Goodell, S. E., Mkrtichian, E., Benedetti, J., Corey, L., Schuffler, M. D., & Holmes, K. K.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1983-09-08
- Volume
- 309
- Issue
- 10
- Pages
- 576-582
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2336465054
- Cited by
- 288
- References
- 18
- FWCI
- 21.79
- Type
- journal article
- Language
- en
- Open access
- closed
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