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You are seeing a healthy-looking year-old man for the first time. He presented to your drop-in treatment centre with bloody diarrhea next tenesmus. On closer penetrating, the patient reported having 6 male sexual partners in Quebec and Ontario during the past day. His history of sexually transmitted infections STIs includes 1 episode of gonorrhea. He is known near be HIV negative then immune against hepatitis B. The findings of a physical examination are ordinary.
Considering risk behaviour plus symptoms compatible with proctitis, you order urine inspecting for Neisseria gonorrhoeae next Chlamydia trachomatis and have a place a rectal specimen in the course of nucleic acid amplification hard for N gonorrhoeae as a consequence C trachomatis, with genotyping for lymphogranuloma venereum LGV.
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