[A male with perianal skin abnormalities].

A 23-year-old man who has sex with men with perianal pain and blood loss showed erosive perianal plaques. PCR swab of the plaque was positive for Treponema pallidum and herpes simplex virus (HSV) type 2. Patient was diagnosed with primary or secondary syphilis with a co-infection of HSV and was successfully treated with benzathine benzylpenicillin.

The Availability and Feasibility of Chemsex Services Within Sexually Transmitted Disease Clinics in the Netherlands: A Cross-Sectional Survey Among Sexually Transmitted Disease Nurses.

Objectives: Chemsex-using illicit drugs during sex-is prevalent among men who have sex with men (MSM) and associated with sexual and mental health harms. Sexually transmitted disease (STD) clinics are a frequently visited and trusted health care facility for MSM. This study assessed the frequency and extent to which chemsex is addressed by Dutch STD nurses.