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Case Reports
. 2016 Dec 7;3(4):e178.
doi: 10.14309/crj.2016.151. eCollection 2016 Aug.

Purulent Proctitis Caused by Prevotella bivia in a Homosexual Male

Maen Masadeh  1 , Sarah Hossain  1 , Jeffrey Dunkelberg  1 , Henning Gerke  1
Affiliations
Case Reports

Purulent Proctitis Caused by Prevotella bivia in a Homosexual Male

Maen Masadeh et al. ACG Case Rep J. .

Abstract

A 32-year-old homosexual male presented with suprapubic pain. Computed tomography showed rectal wall thickening. Flexible sigmoidoscopy showed small pockets of pus that were opened with mucosal biopsies, and additional pus was diffusely expressed from the rectal wall by applying blunt pressure with the biopsy forceps. Cultures from the pus grew Prevotella bivia. Symptoms resolved after treatment with doxycycline and metronidazole. Proctitis due to P. bivia was not previously reported.

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Figure 1
Figure 1
(A) Small pockets of pus were seen on rectal wall and (B) were opened with blunt biopsy forceps.
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