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LGV

Presented by Jordan Wilson. 4/10/18

Lymphogranuloma Venereum (LGV) By Jordan

Description of disease

Introduction

Lymphogranuloma venereum (LGV)(also known as "Climatic bubo", "Durand–Nicolas–Favre disease", "Poradenitis inguinale", and "Strumous bubo")

Is a long term infection of the lymphatic system and lymph nodes

Curable or non curable

Curable or non curable

LGV is treated with antibiotics to cure the infection and prevent ongoing tissue damage. Treatment with erythromycin or doxycycline for at least 3 weeks is required. Azithromycin has also been used.

How its transmitted

LGV is spread through unprotected anal, oral or vaginal sexual contact, especially if there is trauma to the skin or mucous membranes

Ways its transmitted

Signs and symptoms

Initial signs, such as small painless genital papules or ulcers, often go unnoticed as they heal quickly or they may be mistaken for other infections such as genital herpes.LGV may also produce rectal ulcers, bleeding, pain, and discharge, especially among those who engage in receptive anal intercourse. Signs and symptoms associated with rectal infection can be mistaken for ulcerative colitis. Complications occur such as abscesses or fistulas occur when the infection becomes deep-seated.

Signs

Stage 1. Small painless papule appears. Ulcerates, heals and disappears within a few days and may go unnoticed.

Stage 2. Most male patients present during this stage. About 2-6 weeks after the 1st stage painful and swollen lymph glands (buboes) develop on one (most common) or both sides of the groin. Women may present with lower abdominal or back pain (deep pelvic node involvement). Other symptoms include malaise, fever, chills, joint and muscular pain and vomiting.

Stage 3. Most female patients present during this stage with fever, pain, itch, pain on passing stools and urinating, and pus-filled or bloody diarrhoea.

Chronic inflammation may lead to abscesses, fistulas, lymphatic obstruction, rectal strictures and proctocolitis. Chronic infection may result in severe scarring causing major deformation of the genitals.

Symptoms

Treatment

LGV is treated with antibiotics to cure the infection and prevent ongoing tissue damage. Treatment with erythromycin or doxycycline for at least 3 weeks is required. Azithromycin has also been used. If necessary, large swollen lymph glands (buboes) may be drained. Surgery to repair fistulas and strictures may also be required. All sexual activity should be refrained from until the condition has been treated successfully. Patients should be followed-up until all signs and symptoms of the infection have resolved.

Prevention

As with all STDs, the most effective protection is to abstain from sexual activity or be monogamous with one long-term partner who has tested negative for LGV. Using latex condoms, particularly for anal sex, can help reduce the risk of contracting or spreading the infection. Safe-sex practices or ABSTINENCE will prevent the spread of LGV as well as other STDs.

Pictures

Resources

https://www.dermnetnz.org/topics/lymphogranuloma-venereum/

https://beforeplay.org/stds/lymphogranuloma-venereum-lgv/

Resources

Works cited

“LGV List of STDs (STIs) & Symptoms.” Beforeplay.org, beforeplay.org/stds/lymphogranuloma-venereum-lgv/

“Lymphogranuloma Venereum.” Lymphogranuloma Venereum DermNet New Zealand, www.dermnetnz.org/topics/lymphogranuloma-venereum/.

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