The etiology of infectious proctitis in men who have sex with men differs according to HIV status.
Abstract
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.
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Acute proctitis among persons who have anal exposure through oral, genital, or digital contact is usually sexually acquired.
“Acute proctitis among persons who have anal exposure through oral, genital, or digital contact is usually sexually acquired (1382,1388).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1382]
Genital HSV and LGV proctitis are more prevalent among persons with HIV infection.
“Genital HSV and LGV proctitis are more prevalent among persons with HIV infection (545,556,1382).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1382]
M. genitalium has been detected in certain cases of proctitis and might be more common among persons with HIV infection.
“M. genitalium has been detected in certain cases of proctitis and might be more common among persons with HIV infection (937,1382).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1382]
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- Authors
- Bissessor, M., Fairley, C. K., Read, T., Denham, I., Bradshaw, C., & Chen, M.
- Affiliations
- The University of Melbourne (AU)
- The Alfred Hospital (AU)
- Corresponding author
- Bissessor, Melanie
- Fairley, Christopher K.
- Bradshaw, Catriona
- Chen, Marcus
- Venue
- Sexually Transmitted Diseases
- Published
- 2013-10
- Volume
- 40
- Issue
- 10
- Pages
- 768-770
- ISSN
- 0148-5717 (ISSN-L)
- OpenAlex
- W2057115473
- Cited by
- 65
- References
- 15
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 4 · 2023: 8 · 2022: 4 · 2021: 4 · 2020: 8 · 2019: 6 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 8 · 2014: 1
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Epidemiology › Herpesvirus Infections and Treatments
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- men who have sex with men, HIV status, herpes simplex virus, herpes simplex virus type 2, herpes simplex virus type 1, chlamydia, gonorrhea, lymphogranuloma venereum, anal ulceration, co-infection, sexually transmitted infections
- MeSH terms
- Adult, Australia, Chlamydia Infections, Fissure in Ano, Gonorrhea, Herpes Simplex, HIV Seropositivity, Humans, Lymphogranuloma Venereum, Male, Mass Screening, Proctitis, Sexual Behavior, Homosexuality, Male, CD4 Lymphocyte Count, Viral Load
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