International Journal of STD & AIDS > Volume 18, Number 7 > Pp. 472-475

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Original research articles

The clinical manifestations of anorectal infection with lymphogranuloma venereum (LGV) versus non-LGV strains of Chlamydia trachomatis: a case–control study in homosexual men

M Hamill, P Benn, C Carder, A Copas, H Ward, C Ison and P French

Department of Genitourinary Medicine, The Mortimer Market Centre, Camden PCT, London WC1E 6AU, UK; Department of Genitourinary Medicine, The Mortimer Market Centre, Camden PCT, London WC1E 6AU, UK; Clinical Microbiology, Chlamydia Laboratory, University College London Hospital, The Windeyer Institute of Medical Sciences, London W1T 4JF, UK; Centre for Sexual Health and HIV Research, University College, London WC1E 6JB, UK; The Department of HIV and STIs, Health Protection Agency, Centre for Infections, London NW9 5EQ, UK; Sexually Transmitted Bacteria Reference Laboratory, Health Protection Agency Centre for Infections, London NW9 5HT, UK; Department of Genitourinary Medicine, The Mortimer Market Centre, Camden PCT, London WC1E 6AU, UK

Lymphogranuloma venereum (LGV) has recently been reported in men who have sex with men. In a case–control study we compared behavioural and clinical features of 32 men with LGV (cases) and 31 men with non-LGV chlamydial proctitis (controls). LGV was associated with rectal discharge (odds ratio [OR] 4.15, 95% confidence interval [CI] 1.42, 12.2), and there was a tendency to association with HIV infection (OR 3.60, CI 0.67–19.4), sexual contact in the UK (OR 3.03, CI 1.02–9.01) and fisting (OR 5.04, CI 0.98–26.1). LGV should be considered a possible diagnosis in men with rectal discharge.

Key Words: C. TRACHOMATIS • LYMPHOGRANULOMA VENEREUM • LGV • MSM • PROCTITIS

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