Anorectal lymphogranuloma venereum in a Melbourne man

Anna N. Morton, Christopher K. Fairley, Angelo M. Zaia, Marcus Y. Chen

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14 Citations (Scopus)

Abstract

We report the first case of anorectal lymphogranuloma venereum (LGV) in a man who has sex with men (MSM) in Australia in the setting of the recent emergence of LGV among MSM in Europe and the USA. A 33-year-old man presented with a 2 month history of mild external anal discomfort. He gave a history of unprotected receptive and insertive anal intercourse with one partner in Europe during the preceding 6 months. No symptoms suggested proctitis and examination revealed two small anal fissures. An anal swab was positive for Chlamydia trachomatis; investigation for other STIs including HIV were negative. On review 6 days later, he was investigated and treated presumptively for LGV. The LGV diagnosis was confirmed by identifying the L2 serovar of C. trachomatis using a genotype test on the original anal specimen. This case is in keeping with the more recent reports of LGV from Europe, and has demonstrated the need for a high index of suspicion for asymptomatic or minimally symptomatic anorectal LGV.

Original languageEnglish
Pages (from-to)189-190
Number of pages2
JournalSexual Health
Volume3
Issue number3
DOIs
Publication statusPublished - 11 Sep 2006

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