Dissident AIDS Database

Co-factorsMultiple infectionsHomosexualsGay bowel syndrome
The gay bowel syndrome: clinico-pathologic correlation in 260 cases.
 Kazal HL, Sohn N, Carrasco JI, Robilotti JG, Delaney WE.
  "The clinical and pathological findings in a group of 260 homosexual men comprising 10% of a private proctologic practice are reviewed. A clinical pattern of anorectal and colon diseases encountered with unusual frequency in these homosexual patients is termed the gay bowel syndrome. The clinical diagnoses in decreasing order of frequency include condyloma acuminata, hemorrhoids, nonspecific proctitis, anal fistula, perirectal abscess, anal fissure, amebiasis, benign polyps, viral hepatitis, gonorrhea, syphilis, anorectal trauma and foreign bodies, shigellosis, rectal ulcers and lymphogranuloma venereum. Of 21 patients with biopsy diagnosis of nonspecific proctitis, 8 had a specific infection which was detected by other means,--5 cases of shigellosis and one case each of gonorrheal proctitis, amebiasis and lymphogranuloma venereum. In evaluating proctologic problems in the gay male... Concurrent infections with 2 or more pathogens should be anticipated. Chlamydia trachomatis, an important cause of nonspecific urethritis in the general population, is high on the list of possible causes of the nonspecific proctitis present in 31 of the 260 patients"
  Ann Clin Lab Sci 1976 Mar-Apr;6(2):184-921976
The gay bowel syndrome. A review of colonic and rectal conditions in 200 male homosexuals.
 Sohn N, Robilotti JG Jr.
  "Our experience in the management of 260 male homosexuals with colorectal problems is described. The increased incidence of amebiasis, shigellosis and hepatitis, specific and nonspecific protocolitides, venereal disease and anal warts, is emphasized. It is important to recognize homosexual patients and the conditions to which they are predisposed."
  Am J Gastroenterol 1977 May;67(5):478-841977
Proctocolitis caused by concurrent amoebiasis and gonococcal infection. The "gay bowel syndrome".
 Kang JY, Stiel D, Doe WF.
  "The simultaneous occurrence of amoebic proctocolitis and gonococcal proctitis in a male homosexual in Sydney is reported. Attention is drawn to the occurrence of multiple or sequential venerally transmitted intestinal infections among male homosexuals"
  Med J Aust 1979 Nov 3;2(9):496-71979
The gay bowel syndrome: a common problem of homosexual patients in the emergency department.
 Heller M.
  "Sexually transmitted bowel and rectal diseases are common in gay men and are caused by a wide variety of infectious agents. Each of the entities implicated in the gay bowel syndrome is considered separately and epidemiologic considerations responsible for the appearance of such a syndrome are examined..."
  Ann Emerg Med 1980 Sep;9(9):487-931980
Sexually-transmissible anorectal diseases
 Paulet P, Stoffels G.
  "Several anorectal diseases are described. Most are sexually transmitted (gay bowel syndrome or heterosexual transmission). The clinical aspect of nearly all of them is similar. Thus, the diagnosis usually cannot be done on clinical grounds alone: one has to request the help of the laboratory. Amebiasis, giardiasis, chancroid and donovanosis are frequent in Africa but rare in our countries, except in male homosexuals. Shigellosis, salmonellosis, pediculosis, scabies and campylobacter infections are seen in male homosexuals because of orofecal contacts... Anorectal gonococcal are also frequent in our country, both homosexually and heterosexually transmitted. The clinical aspect suggests the diagnosis, but this must be confirmed by the laboratory."
  Rev Med Brux 1989 Oct;10(8):327-341989
Sexually Transmitted Diseases in Homosexual Men: Diagnosis, Treatment, and Research
 Ostrow, Sandholzer, and Felman
  "Anal Intercouse, Active: Nongonococcol urethritis, Escherichia coli, Gonorrhea, Hepatitis A, B, non-A/ non-B, Herpes, Warts -molluscum and condyloma, Syphilis, Trichomoniasis, Epididymitis/prostatitis, Fungal infections, Lymphogranuloma venereum, Granuloma inguinale, Chancroid, Cytomegalovirus. Anal Intercouse, Passive: Physical protitis, Rectal gonorrhea, Warts -condyloma and molluscum (rare), Nonspecific proctitis (Chlamidia and others), Herpes, Syphilis, Hepatitis B, Trichomoniasis, Corynebacterium, Lymphogranuloma venereum, Granuloma inguinale, Chancroid, Cytomegalovirus, Candidiasis. Analinction (dung-eating, "rimming"): Enteric diseases: Gay bowel syndrome (explained below) PLUS Escherichia coli and Helminthic parasites, Oral warts, Oral gonorrhea, Syphilis, Lymphogranuloma venereum, Granuloma inguinale, Chancroid."
  New York: Plenum, 19831983
Gastrointestinal manifestations of AIDS. 1: Basic considerations and viral infections
 Prufer-Kramer L, Kramer A.
  "Fifty to eighty per cent of patients with AIDS-related complex or AIDS have gastrointestinal symptoms, the most common being dysphagia, diarrhea, or perianal lesions. The symptomatology varies from a mild "gay bowel syndrome" to a severe "diarrhea wasting syndrome"."
  Fortschr Med. 1991 Mar 10;109(7):169-721991
Prevalence of enteric pathogens in homosexual men with and without acquired immunodeficiency syndrome.
 Laughon BE, Druckman DA, Vernon A, Quinn TC, Polk BF, Modlin JF, Yolken RH, Bartlett JG.
  We studied 388 homosexual or bisexual men from the Baltimore-Washington area to define the spectrum of enteric pathogen carriage in a population at high risk for gay bowel syndrome" in association with human immunodeficiency virus infection. Seventy-seven patients with acquired immunodeficiency syndrome, 68 gay men with symptoms of acute diarrhea or proctitis, and 243 gay men without gastrointestinal symptoms and participating in a natural history study of human immunodeficiency virus infection were selected for study. Approximately 12% of the asymptomatic men harbored at least one enteric pathogen; the most frequently recovered were Chlamydia trachomatis, herpes simplex virus, and Giardia lamblia. Men carrying a pathogen were more likely to be human immunodeficiency virus seropositive (48%) than men without a pathogen (25%) (p = 0.018), more likely to have fewer T helper cells (p = 0.015), and more likely to have a mucopurulent exudate (p = 0.014). We recovered an agent of enteric disease from 68% of gay men presenting with diarrhea or proctitis. Campylobacter species, herpes simplex virus, Neisseria gonorrhoeae, C. trachomatis, G. lamblia, and Shigella species were identified most frequently. The most common pathogen associated with diarrhea in acquired immunodeficiency syndrome was Cryptosporidium (16% of 49 cases). Other agents identified were Clostridium difficile, Vibrio parahemolyticus, Campylobacter species, G. lamblia, Isospora, and cytomegalovirus. Approximately half of the identifiable etiologic agents of diarrhea in acquired immunodeficiency syndrome patients were treatable with antibiotics, but these agents required special culture procedures for detection."
  Gastroenterology. 1988 Apr;94(4):984-931988
The gay bowel syndrome.
 Allason-Jones E.
  No abstract / Pubmed
  Br J Hosp Med. 1987 Nov;38(5):3971987
Gay bowel syndrome.
 Rodriguez W.
  No abstract / Pubmed
  Bol Asoc Med P R. 1986 Oct;78(10):439-411986
Gay men-bowel syndrome: a report of parasitic infection in homosexual patients.
 Khairul Anuar A
  No abstract / Pubmed
  Med J Malaysia. 1985 Dec;40(4):325-91985
The gay bowel.
 Weller IV
  No abstract / Pubmed
  Gut. 1985 Sep;26(9):869-751985
Gay bowel syndrome. The broadened spectrum of nongenital infection.
 Quinn TC.
  "The spectrum of sexually transmitted diseases has taken on new dimensions with the addition of new types of genital infections, enteric spread of genital infections, and sexual transmission of enteric infections."
  Postgrad Med. 1984 Aug;76(2):197-8, 201-101984
The "gay bowel syndrome" and amebiasis as sexually transmitted diseases in Sweden
 Pehrson PO, Bjorkman A
  No abstract / Pubmed
  Lakartidningen. 1981 Aug 26;78(35):29241981
Shigellosis and the gay bowel syndrome: an endoscopic point of view and review of the literature.
 Kaufman JC, Fierst SM
  No abstract / Pubmed
  Gastrointest Endosc. 1982 Nov;28(4):250-11982
Gay bowel syndrome.
 Goldbaum J, Matheson-Lines M.
  No abstract / Pubmed
  Med J Aust. 1979 Dec 29;2(13):699.1979