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Abscess or something worse?
  1. Khalid Hamid Changal1,
  2. Richard Van De Graaf2
  1. 1Internal Medicine, St. Vincent’s Mercy Medical Center, Toledo, Ohio, USA
  2. 2General Surgery, St. Luke’s University Hospital, Bethlehem, Pennsylvania, USA
  1. Correspondence to Dr Khalid Hamid Changal, Internal Medicine, St. Vincent’s Mercy Medical Center, Toledo, OH 43608, USA; khalidchangal{at}

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A 25-year-old homosexual man, not regular with treatment, presented with fever, rectal pain and intermittent haematochezia. He had been diagnosed with HIV/AIDS 1 year prior. Examination showed anal condylomas and non-tender inguinal lymphadenopathy. CD4 count was 74/µL. CT scan of abdomen and pelvis showed a small hypodense collection with peripheral enhancement in the left perirectal region, measuring 1.9×1.4×2.5 cm (figure 1A). A diagnosis of rectal abscess was made. Treatment was done with intravenous antibiotics. Patient’s symptoms improved after 7 days of treatment. Two months …

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  • Contributors KHC: collecting data, literature review, writing manuscript, editing, final approval. RVDG: collecting data, writing manuscript, editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.