Endoscopy 2020; 52(S 01): S18
DOI: 10.1055/s-0040-1704061
ESGE Days 2020 oral presentations
Friday, April 24, 2020 08:30 – 10:30 Endoscopy in flames Liffey Hall 1
© Georg Thieme Verlag KG Stuttgart · New York

BEWARE THE REFRACTORY PROCTITIS IN A YOUNG MALE WITH KNOWN ULCERATIVE COLITIS!

F Younis
1   Emek Medical Center, Gastroenterology Department, Afula, Israel
,
E Zittan
1   Emek Medical Center, Gastroenterology Department, Afula, Israel
,
IM Gralnek
1   Emek Medical Center, Gastroenterology Department, Afula, Israel
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 
 

    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.


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