1992 Volume 34 Issue 5 Pages 1061-1067
A 18-year-old woman was admitted to our hospital with complaints of lower abdomi-nal pain and bloody diarrhea. Colonoscopy and barium enema examination revealed many nodules spreading over the lower part of the rectum, which was similar to "salmon roe" appearence. Histological findings of the biopsy specimens showed lymph follicles with marked mononuclear cell infiltration. Chlamydia trachomatis was detected from rectal swab, and a diagnosis of Chlamydia trachomatis proctitis was made. After the treatment with a daily dose of 200mg minocycline for two weeks, colonoscopy revealed remarkable improvement of the rectal mucosa. We should pay attention to Chlamydia tracomatis proctitis when we examine patients with infectious coloproctitis.