Lymphogranuloma Venereum

Organism Chlamydia trachomatis.

Clinical features Lymphogranuloma vener-eum is a chronic infection presenting as a small painless papule, vesicle or ulcer on the genitalia that often goes unnoticed, lymphadenitis being the clinical sign. The lymph nodes become grossly enlarged and generally suppurate with fistulas and fibro-sis developing, especially in the rectal area if treatment is delayed.

Diagnosis is by finding the organism in lymph node aspirate with immunofluores-cence or DNA probe.

Transmission Although sexual intercourse is considered the main means of transmission, infection can also happen by direct contact with open lesions.

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