Mycoplasma genitalium is an infection of increasing concern due to its potential to cause sequelae in the reproductive tract and the development of antimicrobial resistance. Its role as a cause of proctitis in people with high-risk sexual behaviour has not been properly defined yet but it seems to be less symptomatic than proctitis caused by Chlamydia trachomatis or Neisseria gonorrhoeae. We present a case of a man who has sex with men with proctitis associated with M. genitalium after excluding other infections known to cause STI proctitis.
JensenJSBradshawC.Management of Mycoplasma genitalium infections – can we hit a moving target?BMC Infect Dis2015;
15: 343.
2.
JensenJSCusiniMGombergMet al.
European guideline on Mycoplasma genitalium infections. J Eur Acad Dermatol Venereol2016;
30: 1650–1656.
3.
BissessorMTabriziSNBradshawCSet al.
The contribution of Mycoplasma genitalium to the aetiology of sexually acquired infectious proctitis in men who have sex with men. Clin Microbiol Infect2016;
22: 260–265.
4.
FrancisSCKentCKKlausnerJDet al.
Prevalence of rectal Trichomonas vaginalis and Mycoplasma genitalium in male patients at the San Francisco STD clinic, 2005-2006. Sex Transm Dis2008;
35: 797–800.
5.
OngJJAungEReadTRHet al.Clinical characteristics of anorectal Mycoplasma genitalium infection and microbial cure in men who have sex with men.Sex Transm Dis2018;
45: 522–526.
6.
FoschiCGaspariVSgubbiPet al.
Sexually transmitted rectal infections in a cohort of ‘men having sex with men’. J Med Microbiol2018;
67: 1050–1057.
7.
Fernández-HuertaMBarberáMJEsperalbaJet al. Prevalence of Mycoplasma genitalium infection among asymptomatic people with sexual risk behaviours; screen or not to screen. 2018 IUSTI World and European Congress (abstract 275). Dublin, 27–30 June 2018.
8.
BirgerRSaundersJEstcourtCet al.
Should we screen for the sexually-transmitted infection Mycoplasma genitalium? Evidence synthesis using a transmission-dynamic model. Sci Rep2017;
7: 16162.
9.
GoldenMRWorkowskiKABolanG.Developing a public health response to Mycoplasma genitalium. J Infect Dis2017;
216: S420–S426.
10.
BradshawCSHornerPJJensenJSet al.
Syndromic management of STIs and the threat of untreatable Mycoplasma genitalium. Lancet Infect Dis2018;
18: 251–252.
11.
IsonCAFiferHGwynnSet al.
Highlighting the clinical need for diagnosing Mycoplasma genitalium infection. Int J STD AIDS2018;
29: 680–686.
12.
ReadTRHFairleyCKMurrayGLet al. Outcomes of resistance-guided sequential treatment of Mycoplasma genitalium infections: a prospective evaluation. Clin Infect Dis. Epub ahead of print 5 June 2018. DOI: 10.1093/cid/ciy477.
