HIV/AIDS & Chlamydial Proctitis: Chlamydial proctitis is a re-emerging sexually transmitted disease in HIV/AIDS

AIDSWEEKLY Plus; Monday, August 7, 2006
Staff Medical Writers

According to a recent report from the United States, “Lymphogranuloma venereum (LGV), or chlamydial proctitis, is a classic sexually transmitted disease with prominent gastrointestinal manifestations. The disease has received little attention in recent years, especially in relation to human immunodeficiency virus (HIV) infection.”

“However,” said the authors, “outbreaks of LGV have been reported in several large cities in Europe and the United States over the past few years, occurring in both HIV-infected and -uninfected individuals, and the reports have been largely limited to the sexually transmitted disease literature.”

“We recently diagnosed four cases of chlamydial proctitis in HIV-infected individuals, who had different clinical presentations but very similar endoscopic and histopathologic features, as well as prompt and complete response to therapy,” wrote A. Ahdoot and colleagues at St. Luke's-Roosevelt Hospital, Columbia University College of Physicians & Surgeons in New York.

Investigators concluded, “It is important for gastroenterologists to recognize that LGV may be re-emerging as a relevant clinical entity, because of its similarity to inflammatory bowel diseases and its response to treatment with antibiotics.”

Ahdoot and colleagues published their study in the Journal of Clinical Gastroenterology (Lymphogranuloma venereum in human immunodeficiency virus-infected individuals in New York City. J Clin Gastroenterol. 2006 May-Jun;40(5):385-90).

For additional information, contact D.P. Kotler, Columbia University College of Physicians & Surgeons, St. Luke's-Roosevelt Hospital Center, Dept. of Medical, Gastrointestinal Division, S&R 12, 1111 Amsterdam Avenue, New York City, NY 10025, USA.

Publisher contact information for the Journal of Clinical Gastroenterology is: Lippincott Williams & Wilkins, 530 Walnut St., Philadelphia, PA 19106-3621, USA.

Keywords: New York, New York, United States, HIV/AIDS, Inflammatory Bowel Disease, Lymphogranuloma venereum, Chlamydial Proctitis, Re-emerging Sexually Transmitted Disease.

This article was prepared by AIDS Weekly editors from staff and other reports.

Reference

Ahdoot A, Kotler DP, Suh JS, et al., “Lymphogranuloma venereum in human immunodeficiency virus-infected individuals in New York City”, J Clin Gastroenterol. 2006 May-Jun;40(5):385-90.

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