Manifestations and management of lymphogranuloma venereum.

White, John A

doi:10.1097/qco.0b013e328320a8ae

Cited by 148Reproductive tract infections researchSyphilis Diagnosis and TreatmentBacterial Infections and Vaccines

Manifestations and management of lymphogranuloma venereum.

White, John A·2009·Current Opinion in Infectious Diseases

DOI 10.1097/qco.0b013e328320a8ae

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Abstract

PURPOSE OF REVIEW: This review was prompted by a sustained outbreak of lymphogranuloma venereum that has been observed among men who have sex with men (MSM) worldwide since 2004. Recent developments in the epidemiology, diagnosis and management of the infection are summarized. RECENT FINDINGS: Between the early 1980s and 2003, lymphogranuloma venereum was rarely seen in the developed world. In 2003, a cluster of cases was seen in the Netherlands occurring mostly in HIV-positive MSM with high levels of sexual risk. With the assistance of novel molecular diagnostic techniques, more than a thousand cases of Chlamydia trachomatis L2 serovar disease have now been reported in MSM worldwide. Almost all have presented with rectal infection, usually manifesting as severe proctitis, with ulcer adenopathy syndrome seldom seen. Oral doxycycline remains the recommended treatment and has proven effective in the recent outbreak. Conflicting data exist regarding the prevalence of asymptomatic infection, and our understanding of the exact modes of transmission remains incomplete. SUMMARY: Lymphogranuloma venereum appears to have reestablished endemicity among MSM populations in many industrialized nations. In the relative absence of recent publications from its traditional endemic regions it can be assumed that these populations remain afflicted by the infection as well.

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Authors: White, J. A.
Affiliations: Guy's Hospital (GB)
Corresponding author: White, John A
Venue: Current Opinion in Infectious Diseases
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-02
Volume: 22
Issue: 1
Pages: 57-66
ISSN: 0951-7375 (ISSN-L)
DOI: 10.1097/qco.0b013e328320a8ae
OpenAlex: W1999983445
Cited by: 148
References: 76
Citations by year: 2026: 3 · 2025: 2 · 2024: 2 · 2023: 8 · 2022: 4 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 9 · 2017: 4 · 2016: 14 · 2015: 13 · 2014: 18 · 2013: 17 · 2012: 10
FWCI: 1.26
Type: journal article
Language: en
Open access: closed
Locations: Current Opinion in Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Health Sciences › Medicine › Physiology › Syphilis Diagnosis and Treatment
Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
Keywords: lymphogranuloma venereum, men who have sex with men, rectal infection, proctitis, HIV coinfection, outbreak, molecular diagnosis, doxycycline treatment, asymptomatic infection, transmission mode
MeSH terms: Anti-Bacterial Agents, Chlamydia trachomatis, Doxycycline, Humans, Lymphogranuloma Venereum, Male, Netherlands, Proctitis, Homosexuality, Male, Developed Countries, Case Management

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Manifestations and management of lymphogranuloma venereum.

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