A raft of negative results despite worsening symptoms after casual sex in Australia

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In print
SEXUAL HEALTH

A raft of negative results despite worsening symptoms after casual sex in Australia

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Vanessa Weenink

Men drinking together, shots, bar, men, friends
Jono had sex with a few casual male partners in Sydney the week before his problems began (Image: istock)

Infectious disease and sexual health specialist Massimo Giola discusses a gay man who presents with suspected sexually acquired proctitis, but finding a cause and suitable treatment for his symptoms is not straightforward

Key points, For MSM with suspected sexually acquired proctitis, take a thorough history, examine the patient (including internal examination) and take rectal swab, Pract Green w Pale Yellow
References

1. Bissessor M, Fairley CK, Read T, et al. The etiology of infectious proctitis in men who have sex with men differs according to HIV status. Sex Transm Dis 2013;40(10):768–70.
2. Williamson D, Ingle D, Howden B. Extensively drug-resistant shigellosis in Australia among men who have sex with men. N Engl J Med 2019;381(25):2477–79.
3. Williamson DA, Chen MY. Emerging and reemerging sexually transmitted infections. N Engl J Med 2020;382(21):2023–32.