Early recognition of lymphogranuloma venereum can prevent significant morbidity. As the diagnosis of genital-inguinal disease can be challenging, clinicians should have a high index of suspicion in patients with relevant clinical features and risk factors. We present two recent cases seen at an Australian Sexual Health Clinic within a three-month period that highlight the variety of genital-inguinal manifestations.
WhiteJO’FarrellNDanielsD.2013 UK National Guideline for the management of lymphogranuloma venereum: Clinical Effectiveness Group of the British Association for Sexual Health and HIV (CEG/BASHH) Guideline development group. Int J STD AIDS2013;
24: 593–601.
2.
SethiGAllason-JonesERichensJ, et al.
Lymphogranuloma venereum presenting as genital ulceration and inguinal syndrome in men who have sex with men in London, UK. Sex Transm Infect2009;
85: 165–170.
3.
RonnMMWardH.The association between lymphogranuloma venereum and HIV among men who have sex with men: systematic review and meta-analysis. BMC Infect Dis2011;
11: 70.
4.
ReadPJMcNultyAM.Lymphogranuloma venereum presenting as genital ulceration and inguinal syndrome. Med J Aust2013;
199: 27–28.
5.
DaviesSCShapiroJComninosNB, et al.
Lymphogranuloma venereum presenting as penile ulcer in two HIV-negative gay men. Int J STD AIDS2019;
30: 515–518.
6.
Australasian Society for HIV, Viral hepatitis and sexual health medicine. Australian STI management guidelines for use in primary care, www.sti.guidelines.org.au (accessed 14 July 2019).
7.
WhiteJ.Manifestations and management of lymphogranuloma venereum. Curr Opin Infect Dis2009;
22: 57–66.
8.
OudEVde VriezeNHNde MeijA, et al.
Pitfalls in the diagnosis and management of inguinal lymphogranuloma venereum: important lessons from a case series. Sex Transm Infect2014;
90: 279–282.
9.
González-BeirasCMarksMChenCY, et al.
Epidemiology of Haemophilus ducreyi infections. Emerg Infect Dis2016;
22: 356.
10.
Hounsfield V, Davies SC. Genital piercing in association with gonorrhoea, chlamydia and warts. Int J STD AIDS 2008; 19(7): 499–500.
TraegerMWSchroederSEWrightEJ, et al.
Effects of pre-exposure prophylaxis for the prevention of human immunodeficiency virus infection on sexual risk behavior in men who have sex with men: a systematic review and meta-analysis. Clin Infect Dis2018;
67: 676–686.
13.
MolinaJMCharreauIChidiacC, et al.
Post-exposure prophylaxis with doxycycline to prevent sexually transmitted infections in men who have sex with men: an open-label randomised substudy of the ANRS IPERGAY trial. Lancet Infect Dis2018;
18: 308–317.
