A raft of negative results despite worsening symptoms after casual sex in Australia

+Practice

In print

SEXUAL HEALTH

A raft of negative results despite worsening symptoms after casual sex in Australia

29 July 2020

Vanessa Weenink

Wednesday 29 July 2020, 12:45 AM

Men drinking together, shots, bar, men, friends

Jono had sex with a few casual male partners in Sydney the week before his problems began (Image: istock)

Infectious disease and sexual health specialist Massimo Giola discusses a gay man who presents with suspected sexually acquired proctitis, but finding a cause and suitable treatment for his symptoms is not straightforward

Key points, For MSM with suspected sexually acquired proctitis, take a thorough history, examine the patient (including internal examination) and take rectal swab, Pract Green w Pale Yellow

Clinical

Men's Health

Sexual Health

References

1. Bissessor M, Fairley CK, Read T, et al. The etiology of infectious proctitis in men who have sex with men differs according to HIV status. Sex Transm Dis 2013;40(10):768–70.
2. Williamson D, Ingle D, Howden B. Extensively drug-resistant shigellosis in Australia among men who have sex with men. N Engl J Med 2019;381(25):2477–79.
3. Williamson DA, Chen MY. Emerging and reemerging sexually transmitted infections. N Engl J Med 2020;382(21):2023–32.

How to Treat

+How to treat

Polypharmacy

For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews

Wednesday 28 May 2025, 12:50 AM