Abstract
A 22-years-old homosexual male diagnosed with pancolitis was admitted to hospital with a history of bloody diarrhoea, abdominal pain and tenesmus.
He was treated with anti-TNF treatment with an initial good clinical response. However, within 4 weeks, he lost response. Repeated colonoscopy showed severe distal inflammation. Polymerase chain reaction (PCR) for “sexually transmitted infection” (STI) by rectal swab was positive for Chlamydia trachomatis infection. The patient was treated successfully with a one-time dose of IV Azithromycin 1gr.
In conclusion, when evaluating an extraordinary course of non-responsive proctitis, consider STIs as a possible cause specially in high risk patients.
He was treated with anti-TNF treatment with an initial good clinical response. However, within 4 weeks, he lost response. Repeated colonoscopy showed severe distal inflammation. Polymerase chain reaction (PCR) for “sexually transmitted infection” (STI) by rectal swab was positive for Chlamydia trachomatis infection. The patient was treated successfully with a one-time dose of IV Azithromycin 1gr.
In conclusion, when evaluating an extraordinary course of non-responsive proctitis, consider STIs as a possible cause specially in high risk patients.
| Original language | English |
|---|---|
| Pages (from-to) | S18 |
| Journal | Endoscopy |
| Volume | 52 |
| Issue number | S 01 |
| DOIs | |
| State | Published - 23 Apr 2020 |
| Event | ESGE Days - Dublin, Ireland Duration: 23 Apr 2020 → 25 Apr 2020 |