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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 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:

Sexual Health 3(3) 189-190
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.


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