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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 20) Proctitis,

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Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 20) Proctitis, Proctocolitis, Enterocolitis, and Enteritis: Treatment Acute proctitis in persons who have practiced receptive anorectal intercourse is usually sexually acquired. Such patients should undergo anoscopy to detect rectal ulcers or vesicles and petechiae after swabbing of the rectal mucosa; to examine rectal exudates for PMNs and gram-negative diplococci; and to obtain rectal swab specimens for testing for rectal gonorrhea, chlamydial infection, herpes, and syphilis. Pending test results, patients with proctitis should receive empirical syndromic treatment—e.g., with ceftriaxone (a single IM dose of 125 mg for gonorrhea) plus doxycycline (100 mg PO...

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