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Previous Volume 354:284-289 January 19, 2006 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 31-year-old man with the acquired immunodeficiency syndrome (AIDS) was evaluated at the infectious disease clinic of this hospital because of rectal pain and a mucopurulent rectal discharge.

Four days before this evaluation, the patient first noticed rectal discharge, pain on defecation, and blood in his stools. He described pelvic pain, nausea, and generalized weakness but no fever, chills, or emesis. He had regular anal-receptive intercourse without condoms with his usual partner, who was also infected with the human immunodeficiency virus (HIV), and with other partners.

In the patient under discussion, HIV infection had been diagnosed 12 years earlier. He . . . [Full Text of this Article]

Differential Diagnosis

Dr. Benjamin T. Davis's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Infectious Disease Unit (B.T.D.), the Gastrointestinal Unit (M.T.), and the Department of Pathology (L.R.Z.), Massachusetts General Hospital; and the Departments of Medicine (B.T.D., M.T.) and Pathology (L.R.Z.), Harvard Medical School.

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