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Recent outbreaks of lymphogranuloma venereum (LGV) proctitis among men who have sex with men (MSM) have occurred in several European countries, however, there have been only a few cases reported in Eastern Europe.1 ,2 A primary anogenital lesion and the secondary lymphadenopathy may mimic other sexually transmitted infections (STIs), therefore an early laboratory diagnosis is essential for adequate therapy.
Between November 2012 and February 2014 four HIV-positive, Hungarian men were diagnosed with LGV. The patients’ lifestyle (unsafe sexual contact with multiple casual partners while visiting abroad) suggests that they are presumably linked to the recent Western-European epidemic of LGV among MSM. Neither of them developed a classical proctocolitis, which could have served as a telltale sign for clinicians. Three of the patients were …