Drusin L M, Genvert G, Topf-Olstein B, Levy-Zombek E
Br J Vener Dis. 1976 Oct;52(5):348-50. doi: 10.1136/sti.52.5.348.
Following the clinical observation that there appeared to be an association between shigellosis and male homosexuality, the medical records of 113 patients at The New York Hospital were reviewed retrospectively. Of the 38 males studied who were between the ages 19 and 61, seventeen were homosexual (44-7 per cent.). Only one of the matched controls was homosexual. Of the men with shigellosis who had a history of foreign travel, 10 per cent. were homosexual; however, among the patients without a travel history, 57-1 per cent. were homosexual (P less than 0-05). For male patients with shigellosis who do not have an appropriate travel history, the physician should expand his epidemiological investigation to include sexual contacts. Men and women who perform rectal intercourse should be cautioned to abstain from this activity until their stool cultures are negative for shigella. If a male patient with shigellosis is homosexual, he should be screened for other sexually transmitted diseases such as syphilis, gonorrhoea, hepatitis B, and amoebiasis.
基于志贺氏菌病与男性同性恋之间似乎存在关联这一临床观察，对纽约医院113名患者的病历进行了回顾性研究。在研究的38名年龄在19岁至61岁之间的男性中，有17名是同性恋者（占44.7%）。配对对照组中只有1名是同性恋者。有国外旅行史的志贺氏菌病男性患者中，10%是同性恋者；然而，在没有旅行史的患者中，57.1%是同性恋者（P小于0.05）。对于没有适当旅行史的志贺氏菌病男性患者，医生应扩大其流行病学调查范围，将性接触纳入其中。进行直肠性交的男性和女性应被告诫在粪便培养志贺氏菌呈阴性之前避免这种行为。如果患有志贺氏菌病的男性患者是同性恋者，应对其进行其他性传播疾病的筛查，如梅毒、淋病、乙型肝炎和阿米巴病。
