Lamb Chris A, Lamb Elizabeth Iris Mary, Mansfield John C, Sankar K Nathan
Institute of Cellular Medicine , Newcastle University, Newcastle upon Tyne , UK ; Department of Gastroenterology , Newcastle upon Tyne Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK.
Frontline Gastroenterol. 2013 Jan;4(1):32-40. doi: 10.1136/flgastro-2012-100274.
There is a rising incidence of several sexually transmitted infections (STIs), many of which can present with proctitis. Causative organisms include , , herpes simplex virus, (syphilis), (giardiasis) and (amoebiasis). This paper outlines important clinical discriminators and key investigations to distinguish these organisms from non-infective pathology that include inflammatory bowel disease, solitary rectal ulcer syndrome and Behçet's syndrome. Management of these infections is described and suggestions are made for successful gastroenterology clinical consultation when an STI is suspected.
几种性传播感染（STIs）的发病率正在上升，其中许多可表现为直肠炎。病原体包括[此处原文缺失部分病原体名称]、单纯疱疹病毒、[此处原文缺失部分病原体名称]（梅毒）、[此处原文缺失部分病原体名称]（贾第虫病）和[此处原文缺失部分病原体名称]（阿米巴病）。本文概述了重要的临床鉴别因素和关键检查，以将这些病原体与非感染性病理情况（包括炎症性肠病、孤立性直肠溃疡综合征和白塞病）区分开来。描述了这些感染的管理方法，并针对怀疑患有性传播感染时成功进行胃肠病学临床会诊提出了建议。
