Document Type

Article

Peer Reviewed

1

Publication Date

4-4-2017

NLM Title Abbreviation

Case Rep Pediatr

Journal/Book/Conference Title

Case Reports in Pediatrics

PubMed ID

28473937

DOI of Published Version

10.1155/2017/3547230

Start Page

1

End Page

4

Total Pages

5

Abstract

We report the case of a 17-year-old male who was initially assessed for pain with defecation, bloody rectal discharge, and diarrhea, consistent with proctitis. Though proctitis is most commonly due to inflammatory bowel disease (IBD), infectious etiologies must also be considered, including sexually transmitted causes of infectious proctitis. In discussion of his sexual history, he identified as homosexual and acknowledged engaging in receptive anal intercourse. Rectal biopsies obtained via colonoscopy were culture-positive for herpes simplex virus (HSV), leading to a diagnosis of HSV proctitis and treatment with an appropriate antiviral medication. HSV proctitis is more common in individuals with high-risk sexual practices, including men who have sex with men. While this may be an uncommon diagnosis for pediatricians to make in practice, a high clinical index of suspicion for sexually transmitted infectious proctitis in those with risk factors must be maintained in order to facilitate appropriate testing, treatment, and counseling of affected individuals.

Keywords

OAfund, Herpes Simplex Proctitis, Inflammatory Bowel Disease

Journal Article Version

Version of Record

Published Article/Book Citation

Case Reports in Pediatrics, vol. 2017, Article ID 3547230, 4 pages, 2017. https://doi.org/10.1155/2017/3547230

Rights

Copyright (c) 2017 Kristen E. Sandgren et al

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

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URL

https://ir.uiowa.edu/pediatrics_pubs/8