title: Lymphogranuloma venereum presenting as a rectovaginal fistula.
abstract: Lymphogranuloma venereum (LGV) is a rare form of the sexually transmitted disease caused by Chlamydia trachomatis. In the United States, there are fewer than 350 cases per year. In a review of the world's literature, there has not been a case reported in the last thirty years of a case of LGV presenting as a rectovaginal fistula. We present a case of an otherwise healthy American woman who presented with a rectovaginal fistula. Although uncommon, LGV does occur in developed countries and may have devastating tissue destruction if not recognized and treated before the tertiary stage.
authors.affiliation: Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa 33606, USA.
authors.forename: C M
authors.initials: CM
authors.lastname: Lynch
authors.forename: T L
authors.initials: TL
authors.lastname: Felder
authors.forename: R A
authors.initials: RA
authors.lastname: Schwandt
authors.forename: R G
authors.initials: RG
authors.lastname: Shashy
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000150:complications / Q000175:diagnosis*; D012006:Rectovaginal Fistula / Q000209:etiology*