Anorectal lymphogranuloma venereum in a Melbourne manAnna N. Morton A D , Christopher K. Fairley A B , Angelo M. Zaia C and Marcus Y. Chen A B
A 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: email@example.com
Sexual Health 3(3) 189-190 http://dx.doi.org/10.1071/SH06029
Submitted: 8 May 2006 Accepted: 23 May 2006 Published: 29 August 2006
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.