ABSTRACT
Common sexually transmitted bacterial organisms may affect the anorectum and perianal skin. While some of these infections are a result of contiguous spread from genital infection, most result from receptive anal intercourse. Polymicrobial infection is common and there is overlap in symptoms caused by the organisms that may infect the anorectum. This article addresses the most common bacterial organisms that are sexually transmitted and affect the anorectum. It includes discussions of gonorrhea, campylobacter, chlamydia, shigella, chancroid, granuloma inguinale, and syphilis. Incidence, mode of transmission, presenting signs and symptoms, diagnostic modalities, and treatment are reviewed.
KEYWORDS
Sexually transmitted diseases - anal ulcerations - proctitis
REFERENCES
-
1 Centers for Disease Control and Prevention .Tracking the hidden epidemics. Trends in STDs in the United States April 2001: 1-26
-
2
Halperin D T.
Heterosexual anal intercourse: prevalence, cultural factors, and HIV infection and other health risks, Part 1.
AIDS Patient Care STDS.
1999;
13
717-730
-
3
Kozlowski P A, Neutra M R.
The role of mucosal immunity in prevention of HIV transmissions.
Curr Mol Med.
2003;
3
217-228
-
4 Hook III E W, Handsfield H H. Gonococcal infection in the adult. In: Holmes KK, Sparling PR, Mardh PA, et al Sexually Transmitted Diseases New York, NY; McGraw-Hill 1999: 451-466
-
5
Young H, Manavi K, McMillan A.
Evaluation of ligase chain reaction for the non-cultural detection of rectal and pharyngeal gonorrhea in men who have sex with men.
Sex Transm Infect.
2003;
79
484-486
-
6 Centers for Disease Control and Prevention .Sexually transmitted diseases treatment guidelines 2002. MMWR Recom Rep 2002 51(RR-6): 1-78
-
7 Centers for Disease Control and Prevention .Sexually transmitted disease surveillance 2002 supplement. Gonococcal isolate surveillance project annual report Atlanta, GA; US Dept of Health and Human Services October, 2003
-
8
Sorvillo F J, Lieb L E, Waterman S H.
Incidence of campylobacteriosis among patients with AIDS in Los Angeles County.
J Acquir Immune Defic Syndr.
1991;
4
598-602
-
9
Allos B M, Blaser M J.
Campylobacter jejuni and the expanding spectrum of related infections.
Clin Infect Dis.
1995;
20
1092-1099
-
10
Tee W, Mijch A.
Campylobacter jejuni bacteremia in human immunodeficiency virus (HIV)-infected and non-HIV-infected patients: comparison of clinical features and review.
Clin Infect Dis.
1998;
26
91-96
-
11
Rompalo A M.
Diagnosis and treatment of sexually acquired proctitis and proctocolitis: an update.
Clin Infect Dis.
1999;
28(suppl 1)
S84-S90
-
12
Cates Jr W.
Estimates of the incidence and prevalence of sexually transmitted diseases in the United States.
Sex Transm Dis.
1999;
26(4 supplement)
S2-S7
-
13 Schacter J, Stephens R. Infections caused by chlamydia trachomatis. In: Morse SA, Ballard RC, Holmes KK, Moreland AA Atlas of Sexually Transmitted Diseases and AIDS Edinburgh; Mosby 2003: 73-96
-
14
Golden M R, Astete S G, Galvan R et al..
Pilot study of COBAS PCR and ligase chain reaction for detection of rectal infections due to Chlamydia trachomatis
.
J Clin Microbiol.
2003;
41
2174-2175
-
15 Baer J R, Vugia D J, Reingold A L, Aragon T, Angulo F J, Bradford W Z. Centers for Disease Control and Prevention. HIV Infection as a risk factor for shigellosis Emerg Infect Dis 1999 5: 820-823
-
16
Dritz S K, Back A F.
Letter: Shigella enteritis venereally transmitted.
N Engl J Med.
1974;
291
1194
-
17
Gaudio P A, Sethabutr O, Echeverria P, Hoge C W.
Utility of a polymerase chain reaction diagnostic system in a study of the epidemiology of shigellosis among dysentery patients, family contacts, and well controls living in a shigellosis-endemic area.
J Infect Dis.
1997;
176
1013-1018
-
18
Spinola S M, Bauer M E, Munson Jr R S.
Immunopathogenesis of Haemophilus ducreyi infection (chancroid).
Infect Immun.
2002;
70
1667-1676
-
19
DiCarlo R P, Martin D H.
The clinical diagnosis of genital ulcer disease in men.
Clin Infect Dis.
1997;
25
292-298
-
20
Orle K A, Gates C A, Martin D H, Body B A, Weiss J B.
Simultaneous PCR detection of Haemophilus ducreyi, Treponema pallidum, and herpes simplex virus types 1 and 2 from genital ulcers.
J Clin Microbiol.
1996;
34
49-54
-
21
O’Farrell N.
Donovanosis.
Sex Transm Infect.
2002;
78
452-457
-
22
Centers for Disease Control and Prevention .
Primary and secondary syphilis-United States 2002.
MMWR.
2003;
52
1117-1120
-
23 Centers for Disease Control and Prevention .The national plan to eliminate syphilis from the United States. Atlanta, GA; US Dept of Health and Human Services 1999: 1-84 Available at: http://www.cdc.gov/stopsyphilis/plan.pdf
-
24 Goligher J C. Sexually transmitted diseases. In: Goligher JC Diseases of the Anus, Rectum and Colon. 5th ed London; Boillere Tindall 1985: 1033-1045
-
25 Cox D, Liu H, Moreland A, Levine W. Syphilis. In: Morse SA, Ballard RC, Holmes KK, Moreland AA Atlas of Sexually Transmitted Diseases and AIDS Edinburgh; Mosby 2003: 23-51
-
26
Kohl K S, Farley T, Ewell J, Scioneaux J.
Usefulness of partner notification for syphilis control.
Sex Transm Dis.
1999;
26
201-207
Charles B WhitlowM.D.
Department of Colon and Rectal Surgery, Ochsner Clinic Foundation
1514 Jefferson Hwy., New Orleans, LA 70121
eMail: cwhitlow@ochsner.org
