2007
DOI: 10.1258/095646207779949916
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Lymphogranuloma venereum: an emerging cause of proctitis in men who have sex with men

Abstract: Before 2003, lymphogranuloma venereum (LGV) was rare in developed nations. Several large clusters of LGV in men who have sex with men have been reported across Europe and in the United States of America (USA) since 2003. LGV is caused by L1, L2 and L3 serovars of Chlamydia trachomatis and is a sexually transmitted infection. LGV causes genital ulcers, infected inguinal lymph nodes (buboes) and proctitis/proctocolitis. Treatment with a three-week course of doxycycline prevents rectal strictures, bowel obstructi… Show more

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Cited by 42 publications
(29 citation statements)
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“…As early as 1981- 83 LGV was associated with severe proctitis [41], one case presenting with massive rectal bleeding [42]. Although urethral/penile LGV presenting with ulcers has been reported, severe painful ulcerative purulent proctitis with rectal discharge, urge to defecate, tenesmus and the passage of blood are frequently the dominating symptoms of LGV [49]. Untreated chronic LGV may lead to abscesses that may rupture, severe perianal fistulas, genital elephantiasis, strictures and fibroses and may resemble Crohn's disease, although the appearance is non-specific [49].…”
Section: Ano-rectal Non-lgv Chlamydia and Lgvmentioning
confidence: 99%
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“…As early as 1981- 83 LGV was associated with severe proctitis [41], one case presenting with massive rectal bleeding [42]. Although urethral/penile LGV presenting with ulcers has been reported, severe painful ulcerative purulent proctitis with rectal discharge, urge to defecate, tenesmus and the passage of blood are frequently the dominating symptoms of LGV [49]. Untreated chronic LGV may lead to abscesses that may rupture, severe perianal fistulas, genital elephantiasis, strictures and fibroses and may resemble Crohn's disease, although the appearance is non-specific [49].…”
Section: Ano-rectal Non-lgv Chlamydia and Lgvmentioning
confidence: 99%
“…Untreated chronic LGV may lead to abscesses that may rupture, severe perianal fistulas, genital elephantiasis, strictures and fibroses and may resemble Crohn's disease, although the appearance is non-specific [49]. The local lymph nodes are involved with pain, swelling, necrosis and perforation [12,49]. Since the recognition of the ongoing outbreak of LGV among MSM in Rotterdam, Holland [50], infections have been reported from many parts of Europe, North America and Australia [12,31,49] and LGV has become endemic among MSM in some areas of the UK [3].…”
Section: Ano-rectal Non-lgv Chlamydia and Lgvmentioning
confidence: 99%
See 1 more Smart Citation
“…Although LGV symptoms can vary according to site of entry and stage of infection, genital ulceration and inguinal lymphadenopathy are the classical presentations of this disease. However, during the recent European MSM outbreak, anorectal symptoms were the most common presentation, making syndromic management problematic (van de Laar, 2006;Richardson & Goldmeier, 2007).…”
Section: Introductionmentioning
confidence: 99%
“…4 Com os diversos dados atuais mostrando surtos em países desenvolvidos, as autoridades de saúde devem estar atentas para a ocorrência de novos casos doença e rastreamento dos parceiros sexuais. 19 Pela falta de um teste diagnóstico rápido e de uso difundido, os doentes com quadros sugestivos de LGV devem receber terapia antimicrobiana durante pelo menos três semanas. 12 Há autores fazendo a mesma recomendação nas retites detectadas durante a…”
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