Lymphogranuloma venereum: here to stay?
- 1 Department of Infectious Disease Epidemiology, Imperial College London, London, UK
- 2 Sexually Transmitted Infections Editorial Office, BMA House, London, UK
- Dr Helen Ward, Department of Infectious Disease Epidemiology, Imperial College London, St Mary’s Campus, Norfolk Place, London W2 1PG, UK;
- Accepted 29 April 2009
In 2003, this journal published a report from The Netherlands of an unusual presentation of lymphogranuloma venereum (LGV) in a man with HIV infection.1 That article was the first evidence of a significant re-emergence of the disease in gay men. Over the following 5 years, articles in this journal and others have documented cases and clusters of LGV from many countries in Europe and North America as well as from Australia and New Zealand. The cases have been in gay men, many of whom are coinfected with HIV and some with hepatitis C. The spectrum of clinical presentation has been wide, the majority having proctitis, rather fewer with classical urogenital syndrome and others being asymptomatic.2–4 Expanded diagnostic capacity, greater awareness among clinicians and patients, …