Lymphogranuloma venereum (LGV)

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