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Sex Transm Infect 85:180-181 doi:10.1136/sti.2008.033589
  • Clinical

Reactive arthritis associated with L2b lymphogranuloma venereum proctitis

  1. K El Karoui1,2,
  2. F Méchaï1,2,
  3. F Ribadeau-Dumas1,2,
  4. J-P Viard1,2,
  5. M Lecuit1,2,
  6. B de Barbeyrac3,
  7. O Lortholary1,2
  1. 1
    Centre d’Infectiologie Necker Pasteur, Paris, France
  2. 2
    Université Paris Descartes, Service des Maladies Infectieuses et Tropicales, Hôpital Necker Enfants-Malades, Paris, France
  3. 3
    Centre National de Référence des Infections à Chlamydiae, Laboratoire de Bactériologie, Université Victor Segalen, Bordeaux, France
  1. Professor O Lortholary, Service des Maladies Infectieuses et Tropicales, Hôpital Necker Enfants-Malades, 149 rue de Sèvres, 75015 Paris, France; olivier.lortholary{at}nck.aphp.fr
  • Accepted 12 January 2009

Abstract

An ongoing outbreak of lymphogranuloma venereum (LGV) L2b proctitis, predominantly in HIV-positive men who have sex with men (MSM), has been reported in industrialised countries. A case of reactive arthritis after L2b proctitis is described. This case expands the spectrum of severe complications related to LGV L2b proctitis. Since this infection may be asymptomatic, this organism should be screened for in HIV-positive MSM with symptoms consistent with reactive arthritis.

Footnotes

  • See Editorial, p 157

  • Competing interests: None.

  • Patient consent: Obtained.

  • Contributors: KEK, FM and OL were in charge of the patient and wrote the manuscript. FRD, JPV and ML were in charge of the patient and carefully revised the manuscript. BdB performed the strain serovar identification and carefully revised the manuscript.