Gonorrheal Proctitis

Abstract

DESPITE widening concern over increasing cases of gonorrhea, primary attention remains focused on the genital orifices. It is worth pointing out that some patients thought to have ulcerative proctitis in fact have gonococcal proctitis, which can be readily treated.Methods of InfectionStratified squamous epithelium resists invasion by the gonococcus, but surfaces covered with columnar and transitional epithelium are more easily penetrated.¹ The most obvious route of inoculation is direct implantation by rectal intercourse, but in women, the infectious vaginal discharge from genital gonorrhea may soil the anorectal mucosa everted during defecation.² Indeed, when it is looked for by direct . . .