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Aeromonas hydrophila—Associated Colitis in a Male Homosexual

Ingram M. Roberts, MD; David M. Parenti, MD; Michael B. Albert, MD
Arch Intern Med. 1987;147(8):1502-1503. doi:10.1001/archinte.1987.00370080140026.
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• A 37-year-old homosexual man was evaluated for a one-week history of hematochezia. Results of a physical examination were remarkable only for grossly bloody stool. Sigmoidoscopy to 30 cm showed a friable mucosa compatible with an acute colitis, and a rectal biopsy specimen demonstrated an increased plasma cell infiltrate. Stool cultures subsequently yielded Aeromonas hydrophila; serum human T-cell lymphotropic virus type III antibody titer was positive. The patient responded to a course of treatment with sulfamethoxazole and trimethoprim with resolution of his symptoms and restoration of the bowel to a normal sigmoidoscopic appearance. Aeromonas hydrophila infection should be considered in the differential diagnosis of acute proctocolitis, particularly in patients with underlying immunodeficiency states.

(Arch Intern Med 1987;147:1502-1503)


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