Gut Feeling

Immune System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with tenesmus and a rectal discharge - symptoms suggestive of proctitis, and alternating diarrhea and constipation - suggesting the presence of enteritis.\n\nWhen considered together, these clinical features are suggestive of a proctocolitis.\n\nConsidering the history of receptive anal intercourse, a proctocolitis secondary to a sexually transmitted infection (STI) is the first possibility which comes to mind; likely pathogens include Herpes Simplex, Gonorrhea, Chlamydia and Syphilis.\n\nAn enteric infection is possible, with important pathogens to consider including Campylobacter, Shigella and Entamoeba histolytica.\n\nAs he is HIV positive, the possibility of an opportunistic infection should be given thought to - but "}]}

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