Repeated detection of lymphogranuloma venereum caused by Chlamydia trachomatis L2 in homosexual men in Hamburg

Meyer, Thomas; Arndt, Richard F.; Krosigk, Ariane von; Plettenberg, Andreas

doi:10.1136/sti.2004.012617

Cited by 37 publications

(19 citation statements)

References 3 publications

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“…A previously non-described L2b Chlamydia variant has been identified as the main causative agent [11,27,30,43,44]. Nevertheless, this variant seems to have been circulating in the NL since 2000 (no earlier samples were available) and has also been detected retrospectively in rectal samples from symptomatic MSM collected from 1979 to 1985 in San Francisco (LGV represented 13% of the collected samples and 67.3% of the C. trachomatispositive samples) [45].…”

Section: Epidemiologymentioning

confidence: 99%

Lymphogranuloma venereum proctocolitis: a silent endemic disease in men who have sex with men in industrialised countries

Martín-Iguacel

Llibre

Nielsen

et al. 2010

Eur J Clin Microbiol Infect Dis

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Lymphogranuloma venereum (LGV) is a sexually transmitted disease (STD) caused by serovars L1-L3 of Chlamydia trachomatis. Rare in the western world prior to 2003, different outbreaks or clusters of LGV have been reported in Europe, North America and Australia among men who have sex with men (MSM) over the past few years. The majority were HIV infected MSM with high-risk sexual behaviour and a high rate of concomitant STD, including hepatitis C. Most of them presented with a proctitis syndrome and only a few with the classical bubonic form. A previously non-described serovar, L2b, has been identified as the main causative agent of the epidemic. A delay in diagnosis has been the rule because of the misleading symptomatology of LGV proctitis, the unfamiliarity of the disease to physicians, and the lack of a routine diagnostic test for LGV serovars. It is crucial to increase the awareness of the disease among physicians for prompt diagnosis and treatment, to avoid complications, and to stop ongoing transmission. It has additional public health implications since LGV may facilitate the transmission and acquisition of HIV and other STD.

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Section: Epidemiologymentioning

confidence: 99%

Lymphogranuloma venereum proctocolitis: a silent endemic disease in men who have sex with men in industrialised countries

Martín-Iguacel

Llibre

Nielsen

et al. 2010

Eur J Clin Microbiol Infect Dis

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“…discharge and constipation) in Rotterdam, Netherlands [1•]. Soon thereafter, reports emerged of similar clusters of men presenting with symptoms of proctocolitis in large cities in Europe, the United Kingdom, the United States, and Canada [2][3][4][5][6]. In the Netherlands, 92 cases were confirmed over a period of 17 months.…”

Section: Tertiary Stage (Average Years After Infection)mentioning

confidence: 83%

Lymphogranuloma venereum: Old pathogen, new story

Pathela

Blank²,

Schillinger³

2007

Curr Infect Dis Rep

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Lymphogranuloma venerum (LGV), an ulcerative sexually transmitted infection caused by the L serovars of Chlamydia trachomatis, has gained recent attention as a cause of hemorrhagic proctitis among men who have sex with men in North America, the United Kingdom, and Europe. It has been a rare diagnosis, and likely has not been included in the routine differential diagnosis for proctocolitis. The lack of a specific diagnostic test has complicated LGV case ascertainment. In the absence of laboratory confirmation of L serovars, physicians are advised to treat possible cases presumptively for LGV and provide medical management of sexual partners. The appearance of an ulcerative infection in sexual networks with high rates of HIV coinfection may forewarn of increased HIV transmission; interruption of disease transmission remains a priority for medical providers and the public health community.

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“…Several European outbreaks of C. trachomatis infections among men who have sex with men (MSM) have been reported in the past 10 years (Halioua et al, 2006;Meyer et al, 2005;Nieuwenhuis et al, 2004;Ward et al, 2007). HIV coinfections are common.…”

Section: Case Reportmentioning

confidence: 97%

Case report: lymphogranuloma venereum proctitis—from rapid screening to molecular confirmation of a masked sexually transmitted disease

Markowicz

Grilnberger

Huber

et al. 2013

Diagnostic Microbiology and Infectious Disease

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Repeated detection of lymphogranuloma venereum caused by Chlamydia trachomatis L2 in homosexual men in Hamburg

Cited by 37 publications

References 3 publications

Lymphogranuloma venereum proctocolitis: a silent endemic disease in men who have sex with men in industrialised countries

Lymphogranuloma venereum proctocolitis: a silent endemic disease in men who have sex with men in industrialised countries

Lymphogranuloma venereum: Old pathogen, new story

Case report: lymphogranuloma venereum proctitis—from rapid screening to molecular confirmation of a masked sexually transmitted disease

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