First case of “bubonulus” in L2 lymphogranuloma venerum
Identifieur interne : 000465 ( France/Analysis ); précédent : 000464; suivant : 000466First case of “bubonulus” in L2 lymphogranuloma venerum
Auteurs : Nathalie Spenatto [France] ; Serge Boulinguez [France] ; Bertille De Barbeyrac [France] ; Roland Viraben [France]Source :
- Sexually Transmitted Infections [ 1368-4973 ] ; 2007-07.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Chlamydia trachomatis, HAART, highly active antiretroviral therapy, Homosexuality, Male, Humans, LGV, lymphogranuloma venereum, Lymphogranuloma Venereum (microbiology), MSM, men who have sex with men, Male, Middle Aged, PCR, polymerase chain reaction, Penile Diseases (microbiology), bubonulus, chlamydia trachomatis, lymphogranuloma venereum, penile adenopathy, sexually transmitted disease.
- MESH :
- microbiology : Lymphogranuloma Venereum, Penile Diseases.
- Chlamydia trachomatis, Homosexuality, Male, Humans, Male, Middle Aged.
Abstract
Since 2003, an ongoing lymphogranuloma venereum (LGV) proctitis outbreak has been reported in industrialised countries with a new variant designated L2b. Only men who have sex with men (MSM) are affected and most are HIV co-infected; delayed or incorrect diagnoses are frequent. We report a rare clinical case of LGV primary stage called “bubonulus” with penile adenopathy and secondary local acute lymphoedema in an MSM seropositive man. This is the first case described of this clinical presentation with a L2b genovar strain, occurring immediately after use of a sex toy. It suggests that this presentation is favoured by host immunity and behavioural factors. These factors may also play a part in the new outbreak of LGV.
Url:
- https://api.istex.fr/document/689A982E8352413E26C0D2650DAA963823B76D36/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2598664
DOI: 10.1136/sti.2007.025395
Affiliations:
- France
- Aquitaine, Midi-Pyrénées, Nouvelle-Aquitaine, Occitanie (région administrative)
- Bordeaux, Toulouse
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Links to Exploration step
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<front><div type="abstract" xml:lang="en">Since 2003, an ongoing lymphogranuloma venereum (LGV) proctitis outbreak has been reported in industrialised countries with a new variant designated L2b. Only men who have sex with men (MSM) are affected and most are HIV co-infected; delayed or incorrect diagnoses are frequent. We report a rare clinical case of LGV primary stage called “bubonulus” with penile adenopathy and secondary local acute lymphoedema in an MSM seropositive man. This is the first case described of this clinical presentation with a L2b genovar strain, occurring immediately after use of a sex toy. It suggests that this presentation is favoured by host immunity and behavioural factors. These factors may also play a part in the new outbreak of LGV.</div>
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