Lymphogranuloma venereum (LGV)
Lymphogranuloma venereum (LGV)
Pathogen
Pathogen
Chlamydia trachomatis L1, 2, 3
Epidemiology
Epidemiology
Relatively rare, increased MSM in Europe and USA
Clinical
Clinical
Primary: small transient painless genital ulcer or proctitis
Secondary: latent period... LN, proctitis, fever, rigors, weight loss
Tertiary: Fistula, lymphoedema, rectal stricture
Diagnosis
Diagnosis
Culture
Serology
PCR
Management
Management
14 days either doxycycline, tetracycline, erythromycin, azithromycin