THOMAS C. QUINN, M.D.; STEVEN E. GOODELL, M.D.; CYNTHIA FENNELL, M.T.; SAN-PIN WANG, M.D.; MICHAEL D. SCHUFFLER, M.D.; KING K. HOLMES, M.D., Ph.D.; WALTER E. STAMM, M.D.
In studies of the cause of gastrointestinal symptoms in homosexual men, Campylobacter jejuni was recovered from 10 of 158 men with, and 2 of 75 men without, intestinal symptoms. In addition, a heterogeneous group of Campylobacter-like organisms was identified in 26 symptomatic and 6 asymptomatic homosexual men, but in none of 150 heterosexual men and women. Infections with Campylobacter-like organisms, like infections with C. jejuni, were significantly associated with the sexual practice of anilinctus and were usually associated with diarrhea, abdominal cramps, and hematochezia; proctocolitis seen at sigmoidoscopy; increased numbers of leukocytes seen on rectal smears; acute inflammatory changes seen on rectal biopsy specimens; and a serum antibody response to the infecting organism.
QUINN TC, GOODELL SE, FENNELL C, et al. Infections with Campylobacter jejuni and Campylobacter-like Organisms in Homosexual Men. Ann Intern Med. 1984;101:187–192. doi: 10.7326/0003-4819-101-2-187
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Published: Ann Intern Med. 1984;101(2):187-192.
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