Pathogen

• Chlamydia trachomatis L1, 2, 3

Epidemiology

• Relatively rare, increased MSM in Europe and USA

Clinical

• Primary: small transient painless genital ulcer or proctitis

• Secondary: latent period... LN, proctitis, fever, rigors, weight loss

• Tertiary: Fistula, lymphoedema, rectal stricture

Diagnosis

• Culture

• Serology

• PCR

Management

• 14 days either doxycycline, tetracycline, erythromycin, azithromycin