Jawale Rahul, Lai Keith K, Lamps Laura W
Department of Pathology, Baystate Medical Center, Springfield, MA, USA.
Department of Anatomic Pathology, Cleveland Clinic, 9500 Euclid Avenue, L-25, Cleveland, OH, 44195, USA.
Virchows Arch. 2018 Jan;472(1):149-158. doi: 10.1007/s00428-017-2261-5. Epub 2017 Nov 9.
The World Health Organization estimates that there is greater than one million new cases of sexually transmitted infections (STIs) every day. In many countries, STIs are at an unprecedented high, including the USA, where nearly 20 million new cases were reported in 2016. Although morbidity associated with STIs is usually seen in the context of genitourinary disease, these pathogens may also affect the gastrointestinal tract and cause anal pain, abdominal pain, or diarrhea. It is important to recognize patterns of injury associated with these pathogens, especially those that may mimic other gastrointestinal diseases, such as idiopathic inflammatory bowel disease (IBD). This review focuses upon STIs of the lower gastrointestinal tract, organized by the most common site of involvement: the anus, rectum, and colon.
世界卫生组织估计，每天有超过100万例性传播感染（STIs）新发病例。在许多国家，性传播感染的发病率达到了前所未有的高度，包括美国，2016年报告了近2000万例新发病例。虽然性传播感染相关的发病率通常见于泌尿生殖系统疾病，但这些病原体也可能影响胃肠道，导致肛门疼痛、腹痛或腹泻。认识与这些病原体相关的损伤模式很重要，尤其是那些可能模仿其他胃肠道疾病（如特发性炎症性肠病（IBD））的模式。本综述重点关注下消化道的性传播感染，按最常见的受累部位进行组织：肛门、直肠和结肠。
