First case of “bubonulus” in L2 lymphogranuloma venerum
Identifieur interne : 002819 ( Ncbi/Checkpoint ); précédent : 002818; suivant : 002820First case of “bubonulus” in L2 lymphogranuloma venerum
Auteurs : Nathalie Spenatto ; Serge Boulinguez ; Bertille De Barbeyrac ; Roland VirabenSource :
- Sexually Transmitted Infections [ 1368-4973 ] ; 2007.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- 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:
DOI: 10.1136/sti.2007.025395
PubMed: 17664360
PubMed Central: 2598664
Affiliations:
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PMC:2598664Le document en format XML
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<series><title level="j">Sexually Transmitted Infections</title>
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<term>Chlamydia trachomatis</term>
<term>Homosexualité masculine</term>
<term>Humains</term>
<term>Lymphogranulomatose vénérienne (microbiologie)</term>
<term>Maladies du pénis (microbiologie)</term>
<term>Mâle</term>
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<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Lymphogranulomatose vénérienne</term>
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<front><div type="abstract" xml:lang="en"><p>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.</p>
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<name sortKey="De Barbeyrac, Bertille" sort="De Barbeyrac, Bertille" uniqKey="De Barbeyrac B" first="Bertille" last="De Barbeyrac">Bertille De Barbeyrac</name>
<name sortKey="Spenatto, Nathalie" sort="Spenatto, Nathalie" uniqKey="Spenatto N" first="Nathalie" last="Spenatto">Nathalie Spenatto</name>
<name sortKey="Viraben, Roland" sort="Viraben, Roland" uniqKey="Viraben R" first="Roland" last="Viraben">Roland Viraben</name>
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