RT Journal Article
SR Electronic
T1 First case of “bubonulus” in L2 lymphogranuloma venerum
JF Sexually Transmitted Infections
JO Sex Transm Infect
FD BMJ Publishing Group Ltd
SP 337
OP 338
DO 10.1136/sti.2007.025395
VO 83
IS 4
A1 Nathalie Spenatto
A1 Serge Boulinguez
A1 Bertille de Barbeyrac
A1 Roland Viraben
YR 2007
UL http://sti.bmj.com/content/83/4/337.abstract
AB Since 2003, an ongoing lymphogranuloma venereum (LGV) proctitis outbreak has been reported in industrialised countries with a new variant designated L2b. Only men who have sex with men (MSM) are affected and most are HIV co-infected; delayed or incorrect diagnoses are frequent. We report a rare clinical case of LGV primary stage called “bubonulus” with penile adenopathy and secondary local acute lymphoedema in an MSM seropositive man. This is the first case described of this clinical presentation with a L2b genovar strain, occurring immediately after use of a sex toy. It suggests that this presentation is favoured by host immunity and behavioural factors. These factors may also play a part in the new outbreak of LGV.