Lymphogranuloma Venereum in Men Screened for Pharyngeal and Rectal Infection, Germany

Abstract

To determine prevalence of lymphogranuloma venereum among men who have sex with men in Germany, we conducted a multicenter study during 2009–2010 and found high rates of rectal and pharyngeal infection in men positive for the causative agent, Chlamydia trachomatis. Many infections were asymptomatic. An adjusted C. trachomatis screening policy is justified in Germany.

Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men 2014: a review of the evidence

“…63 Urethral LGV was recently identified in over 2% of MSM with anorectal LGV and almost 7% of their contacts at an Amsterdam clinic, 67 with around half of these infections being asymptomatic. This report, from a relatively high-LGV prevalence setting contrasts sharply with other European 58,60 and Australian 63 data, where no reservoir of urethral LGV has been found among unselected MSM populations, irrespective of symptoms.…”

“…61,63,65 Although LGV has been identified in the pharynx of MSM overseas, 60,66 a single Australian study failed to identify any cases. 63 Urethral LGV was recently identified in over 2% of MSM with anorectal LGV and almost 7% of their contacts at an Amsterdam clinic, 67 with around half of these infections being asymptomatic.…”

“…This contrasts with other European data, where a large proportion of asymptomatic anorectal chlamydia has been identified as LGV. 59,60 Anorectal LGV has been identified among Australian MSM in both clinic 61,62 and community-based 63,64 settings. In common with most overseas reports, Australian cases predominantly affect HIV-positive MSM, with symptoms of proctitis.…”

Epidemiologische Entwicklung bei ausgewählten sexuell übertragbaren Infektionen (STI) in Deutschland

“…Bei MSM ist eine höhere Inzidenz anzunehmen. In der 2009 bis 2010 durchgeführten PARIS-Studie unter MSM in Arztpraxen waren 12% der rektalen Abstriche positiv [20,21,22]. Auf Grundlage von PARIS-und EMIS-Studienergebnissen muss allein bei MSM in Deutschland aktuell mit mindestens ca.…”

“…Nach den Ergebnissen einer Prävalenzstudie des RKI (PARIS-Studie, 2009-2010) werden derzeit ca. 10-15% der rektalen Chlamydieninfektionen bei MSM durch L-Subtypen verursacht [21].…”