Emedinews:Makesure: A 19–year–old boy came to the clinic with complains of rectal pain, tenesmus and bleeding per rectum.

Situation: A 19–year–old boy came to the clinic with complains of rectal pain, tenesmus and bleeding per rectum. He gave the history of anorectal intercourse. Rectal culture was positive for Chlamydia trachomatis.
Reaction: Oh my God! Why did you not prescribe macrolides?
Lesson: Make sure to remember that treatment with single dose of 1 g azithromycin is effective in treatment of LGV proctitis.