Observation of a cytopathogenic effect on cell lines used for routine viral cultures led to the diagnosis of lymphogranuloma venereum

Sex Transm Infect. 2013 Aug;89(5):395-7. doi: 10.1136/sextrans-2012-050785. Epub 2012 Dec 6.

Abstract

Objectives: This article reports the fortuitous recovery of nine Chlamydia trachomatis serovar L strains in cell cultures (Vero and LLC-MK(2) cell line) designed for viral culture.

Methods: Nine ano-genital swabs were inoculated on confluent Vero, MRC5 and LLC-MK(2) cell cultures. They were collected from HIV-positive patients who were primarily men who have sex with men (MSM) presenting ulcerations that mimicked herpes simplex infections.

Results: A cytopathogenic effect was observed on Vero and LLC-MK(2) cells on day 14. The presence of C trachomatis serovar L in the cell lines was confirmed by Real Time-PCR.

Conclusions: C trachomatis serovar L can grow on Vero and LLC-MK(2) cell lines designed for viral cultures. Lymphogranuloma venereum must be considered as a differential diagnosis for herpes-like lesions, particularly in MSM with high-risk behaviours.

Keywords: Cell Culture; Chlamydia Trachomatis; Lymphogranuloma Venereum.

MeSH terms

  • Adult
  • Anal Canal / microbiology
  • Anal Canal / pathology*
  • Cell Line
  • Chlamydia Infections / classification
  • Chlamydia Infections / diagnosis*
  • Chlamydia Infections / pathology
  • Chlamydia trachomatis / classification
  • Chlamydia trachomatis / isolation & purification*
  • Communicable Diseases, Emerging
  • Europe
  • Evolution, Molecular
  • Homosexuality, Male
  • Humans
  • Lymphogranuloma Venereum / diagnosis*
  • Lymphogranuloma Venereum / pathology
  • Male
  • Middle Aged
  • Proctitis
  • Tropism