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Lymphogranuloma venereum in North America: case reports and an update for gastroenterologists

Jill Tinmouth1, Anita Rachlis, Trevor Wesson

  • 1Division of Gastroenterology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Canada. jill.tinmouth@sw.ca

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
|April 18, 2006
PubMed
Abstract

Insights

Lymphogranuloma venereum (LGV), a Chlamydia trachomatis infection, is increasing in men who have sex with men. Early diagnosis is crucial as LGV mimics inflammatory bowel disease.

Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Public Health

Background:

  • An increase in lymphogranuloma venereum (LGV) cases, caused by Chlamydia trachomatis, has been observed in men who have sex with men (MSM) in Europe and North America.
  • LGV is a sexually transmitted infection that can cause proctitis.

Observation:

  • Three recent cases of LGV proctitis in Canada are reviewed.
  • All cases occurred in MSM; two patients were co-infected with HIV.
  • A diagnostic delay occurred in all three cases, with misdiagnosis as inflammatory bowel disease or non-LGV C. trachomatis.

Findings:

  • LGV proctitis presents with symptoms that can mimic inflammatory bowel disease.
  • Histological and endoscopic findings of LGV can be mistaken for other gastrointestinal conditions.
  • Prompt recognition and treatment are essential to prevent complications.

Implications:

  • Gastroenterologists must be aware of LGV, especially in MSM populations, due to recent outbreaks.
  • Familiarity with LGV diagnosis and treatment is necessary to avoid misdiagnosis and delayed care.
  • Increased vigilance can improve patient outcomes for this emerging public health concern.

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