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Lymphogranuloma venereum proctitis.

Tucker Harrison¹, Mo Som¹, Jeff Stroup¹

¹Division of Cardiology (Harrison), Department of Internal Medicine (Som, Stroup), Oklahoma State University Medical Center, Tulsa, Oklahoma.

Proceedings (Baylor University. Medical Center)

|October 4, 2016

Summary

Lymphogranuloma venereum (LGV) proctitis can present with rectal pain and bleeding. Early diagnosis and doxycycline treatment led to symptom resolution in a 60-year-old man.

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Area of Science:

Infectious Diseases
Proctology
Sexual Health

Background:

Lymphogranuloma venereum (LGV) is a sexually transmitted infection caused by specific serovars of Chlamydia trachomatis.
LGV proctitis can mimic other anorectal conditions, necessitating accurate diagnostic approaches.

Observation:

A 60-year-old male patient presented with a month of rectal pain and bleeding.
Clinical presentation was highly suggestive of LGV proctitis.

Findings:

Nucleic acid amplification testing of a rectal swab confirmed Chlamydia trachomatis, supporting anorectal chlamydia infection.
Treatment with doxycycline resulted in complete resolution of the patient's symptoms.

Implications:

This case highlights the importance of considering LGV in patients with proctitis symptoms, regardless of age or typical risk factors.
Prompt diagnosis and appropriate antibiotic therapy, such as doxycycline, are crucial for effective management and symptom resolution of LGV proctitis.

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