Objectives Lymphogranuloma venereum (LGV) infections caused by Chlamydia trachomatis L types have recently emerged in Europe among HIV-positive men having sex with men. Our aim was to introduce a genotyping strategy suitable for a diagnostic laboratory using nucleic acid amplification tests (NAATs) for detection of C trachomatis and to investigate the prevalence of LGV types in rectal and pharyngeal specimens in Finland.
Methods Aptima Combo 2 (Gen-Probe) was used to detect C trachomatis in swabs. Altogether 140 C trachomatis NAAT-positive rectal and pharyngeal samples were genotyped by pmpH and ompA real-time PCR.
Results Of the 140 NAAT-positive rectal and pharyngeal specimens, 114 (81%) were successfully typed by pmpH PCR. One hundred and four samples contained non-LGV, nine samples LGV and one sample both non-LGV and LGV C trachomatis types. The C trachomatis LGV types were mainly found in rectal samples. Six of the L types were confirmed to be genotype L2b and two were L2 with ompA PCR and sequencing.
Conclusions Our experience suggests that genotyping C trachomatis by pmpH PCR can be introduced as a function of a diagnostic laboratory already using NAAT for detection of C trachomatis. The data show that LGV infections occur also in Finland. LGV should be taken into account when considering treatment and management of rectal C trachomatis infections.
- Chlamydia trachomatis infections
- lymphogranuloma venereum
- chlamydia infection
- molecular epidemiology
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Presented in part: 12th International Symposium on Human Chlamydial Infections, Hof bei Salzburg, Austria, June 2010 (abstract pp. 405–408).
Funding This study was supported by an R&D grant from Helsinki University Central Hospital, Laboratory Division (HUSLAB), MLE82TK013, by The Finnish Society against Sexually Transmitted Diseases and by the Academy of Finland in the frame of the ERA-NET PathoGenoMics, #217554/ECIBUG and #130043/ChlamyTrans.
Competing interests None.
Ethics approval The Ethics Committee, Department of Medicine at Hospital District of Helsinki and Uusimaa.
Provenance and peer review Not commissioned; externally peer reviewed.
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