Anorectal lymphogranuloma venereum in a Melbourne man
Anna N. Morton A D , Christopher K. Fairley A B , Angelo M. Zaia C and Marcus Y. Chen A BA Melbourne Sexual Health Centre, 580 Swanston St, Carlton, VIC 3053, Australia.
B School of Population Health, University of Melbourne, Melbourne, VIC 3010, Australia.
C Microbiological Diagnostic Unit, Department of Microbiology and Immunology, University of Melbourne, Melbourne, VIC 3010, Australia.
D Corresponding author. Email: amorton@mshc.org.au
Sexual Health 3(3) 189-190 https://doi.org/10.1071/SH06029
Submitted: 8 May 2006 Accepted: 23 May 2006 Published: 29 August 2006
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.
Acknowledgement
MYC is supported by an NHMRC Fellowship, number 400399.
[1] Eisen DP. Locally acquired lymphogranuloma venereum in a bisexual man. Med J Aust 2005; 183(4): 218–9.
| PubMed |
[2] Nieuwenhuis RF, Ossewaarde JM, Gotz HM, Dees J, Thio HB, Thomeer MGJ, et al. Resurgence of lymphogranuloma venereum in Western Europe: an outbreak of Chlamydia trachomatis serovar L2 proctitis in The Netherlands among men who have sex with men. Clin Infect Dis 2004; 39 996–1003.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
[3] Lister NA, Tabrizi SN, Fairley CK, Smith A, Janssen PH, Garland S. Variability of the Chlamydia trachomatis omp1 gene detected in samples from men tested in male-only saunas in Melbourne, Australia. J Clin Microbiol 2004; 42(6): 2596–601.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
[4] Van der Bij AK, Spaargaren J, Morre SA, Fennema HSA, Mindel A, Coutinho RA, de Vries HJC. Diagnostic and clinical implications of anorectal lymphogranuloma venereum in men who have sex with men: a retrospective case-control study. Clin Infect Dis 2006; 42 186–94.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
