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Confirmed cases of lymphogranuloma venereum in Hungary, 2012–2014: supportive diagnostic tool of immunoblotting
  1. Eszter Balla1,
  2. Fruzsina Petrovay1,
  3. Tünde Mag1,
  4. Andrea Balázs1,
  5. Tímea Erdősi2,
  6. Katalin Együd3,
  7. András Bánvölgyi4,
  8. Márta Marschalkó4
  1. 12nd Department of Bacteriology, National Center for Epidemiology, Budapest, Hungary
  2. 2Department of Phage Typing and Molecular Epidemiology, National Center for Epidemiology, Budapest, Hungary
  3. 3András Jósa County and Teaching Hospital, Nyíregyháza, Hungary
  4. 4Department of Dermatology, Venereology and Dermatooncology of Semmelweis University, Budapest, Hungary
  1. Correspondence to Dr Eszter Balla, 2nd Department of Bacteriology, National Center for Epidemiology, Albert F. út 2-6, Budapest 1097, Hungary; ballae{at}mobilposta.hu

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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 …

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Footnotes

  • EB and FP are joint first authors and contributed equally to this work

  • Contributors EB: coordinated the study, evaluated the immunoblot results, wrote the manuscript; FP: adapted real time PCR and PCR restriction fragment length polymorphism for LGV, analysed data, revised and approved the paper; TM: performed laboratory testing, commented on and approved the paper; ABal: performed laboratory testing, commented on and approved the paper; TE: performed sequence alignment, commented on and approved the paper; KE: provided clinical samples and anamnestic data of Case 1, was involved with establishing clinical diagnosis of Case 1, commented on and approved the paper ABán: provided clinical samples and anamnestic data of Case 2, was involved with establishing clinical diagnosis of Case 2, commented on and approved the paper; MM: provided clinical samples and anamnestic data of Case 3 and Case 4, was involved with establishing clinical diagnosis of Case 3 and Case 4, commented on and approved the paper.

  • Competing interests None.

  • Ethics approval All the four patients have agreed to work on with their clinical samples during medical examination.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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