Lymphogranuloma Venereum

GENERAL PRINCIPLES

Lymphogranuloma venereum is caused by Chlamydia trachomatis (serovars L₁, L₂, or L₃).

DIAGNOSIS

• It manifests as a painless genital ulcer, followed by heaped up, matted inguinal lymphadenopathy. Proctocolitis with pain and discharge can occur with anal infection and has been increasingly seen in the United States.^6,7

• The diagnosis is based on clinical suspicion and C. trachomatis nucleic acid antibody testing (NAAT), if available.