Charlotte Kanstrup, Helene Perregaard &
Claus Anders Bertelsen:
Perianal abscess after anal intercourse should raise suspicion of rectal gonorrhoeae infection
Ugeskr Læger 2019;181:V10180736
Neisseria gonorrhoeae infection is a sexually transmitted disease. Rectal gonorrhoea is often asymptomatic, the most common symptoms are anal pain, bleeding and purulent discharge. This case report describes a younger man, who experienced increasing anal pain and later fever after anal intercourse. N. gonorrhoeae infection was verified, before a clinical examination revealed a perianal abscess. During incision of the abscess an anal fistula was suspected, and six weeks after primary surgery and treatment with relevant antibiotics, transanal ultrasonography showed perianal scarring and no signs of anocutaneous fistula.