Lymphogranuloma Venereum Proctitis

A 47-year-old man with a medical history of human immunodeficiency virus infection, primary syphilis, hepatitis A, typhoid fever, and tubercular polyneuritis presented with rectorrhagia and anal flowing. The patient was homosexual and reported unprotected anal intercourse 3 weeks before. The human immunodeficiency virus infection was controlled by antiretroviral therapy (elvitegravir, emtricitabine, tenofovir alafenamide, cobicistat), with an undetectable viral load and a normal CD4 T-cell count.

https://ift.tt/2O9Y5q9