Recently, French et al reported the first cases of lymphogranuloma venereum (LGV) in the United Kingdom.¹ One year later, the LGV outbreak first noticed in 2003 among men having sex with men (MSM) has spread beyond the first countries affected (Netherlands, Belgium, Germany, France, the United Kingdom, Sweden, and the United States) to other European countries like Spain, Italy, Switzerland, Poland, and outside the continent to Australia, United States, and Canada. Moreover, some of the questions raised in the publication of French et al can now be partially answered.

A retrospective study performed on anal swabs from STI clinic visitors in …