{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:28:29Z","timestamp":1767338909551},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introduction: Recent studies worldwide reveal a significant prevalence of extragenital infections by Neisseria gonorrhoeae among\u00a0men who have sex with men. We aimed to analyse the frequency and characteristics of extragenital gonococcal infections diagnosed\u00a0in men who have sex with men in a walk-in Sexually Transmitted Infection clinic in Lisbon, Portugal.Material and Methods: We conducted a cross-sectional, retrospective study of the anorectal and\/or oropharyngeal Neisseria\u00a0gonorrhoeae infections in men who have sex with men, diagnosed in our Sexually Transmitted Infection clinic between January 2014\u00a0and December 2016.Results: We found extragenital infection in 87 cases of gonorrhoea identified in men who have sex with men in this period, including:\u00a049 cases of anorectal disease, 9 of oropharyngeal disease, 13 cases of infection at both extragenital sites, and 16 of simultaneous\u00a0extragenital and urogenital gonorrhoea. Patients\u2019 ages ranged from 17 to 64 years (median: 28 years). Forty-seven (54%) of the\u00a0patients did not present with any extragenital symptoms. Thirty (35%) were human immunodeficiency virus-1-positive.Discussion: Since most extragenital Neisseria gonorrhoeae infections are asymptomatic, they may be missed and go untreated unless\u00a0actively investigated. Current international guidelines recommend the screening of gonorrhoea at extragenital sites in men who have\u00a0sex with men because anorectal and oropharyngeal infections constitute a potential disease reservoir, and may facilitate transmission\u00a0and\/or acquisition of human immunodeficiency virus infection.Conclusion: Our results highlight the relevance of testing men who have sex with men for Neisseria gonorrhoeae at extragenital\u00a0sites, regardless of the existence of local complaints. The implementation of adequate screening programmes in Portugal should be\u00a0considered. We also reinforce the need to raise awareness in the population regarding the adoption of prophylactic measures against\u00a0transmission of sexually transmitted infections during anal and\/or oral sexual exposure.<\/jats:p>","DOI":"10.20344\/amp.10146","type":"journal-article","created":{"date-parts":[[2018,6,1]],"date-time":"2018-06-01T10:43:34Z","timestamp":1527849814000},"page":"247-253","source":"Crossref","is-referenced-by-count":10,"title":["Extragenital Gonorrhoea in Men Who Have Sex with Men: A Retrospective Study in a STI Clinic in Lisbon, Portugal"],"prefix":"10.20344","volume":"31","author":[{"given":"Margarida Moura","family":"Valejo Coelho","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eug\u00e9nia","family":"Matos-Pires","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasco","family":"Serr\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e2ndida","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2018,5,30]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/10146\/5424","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/10146\/5424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T08:37:04Z","timestamp":1666687024000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/10146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,30]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2018,5,30]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.10146","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2018,5,30]]}}}