Overview
Lymphogranuloma venereum (LGV) is caused by certain Chlamydia trachomatis strains. It can cause genital ulcers, lymph node swelling and rectal symptoms, particularly after certain exposures.
Causes and transmission
- Transmitted through sexual contact.
- More commonly reported in certain populations and regions.
How it is assessed
- NAAT plus LGV-specific testing may be needed.
- Clinical history and examination guide testing.
Management considerations
- Longer antibiotic courses are often required under specialist guidance.
- Follow-up and partner management matter.
Prevention
- Condoms reduce risk.
- Prompt evaluation of persistent rectal or genital symptoms helps.
Key points
- Caused by specific chlamydia strains
- Can affect rectum and lymph nodes
- May be asymptomatic early
- Requires appropriate testing
When to seek care
- Rectal pain or discharge
- Genital ulcer
- Swollen lymph nodes