title: Anorectal lymphogranuloma venereum in a Melbourne man.
abstract: We report the first case of anorectal lymphogranuloma venereum (LGV) in a man who has sex with men (MSM) in Australia in the setting of the recent emergence of LGV among MSM in Europe and the USA. A 33-year-old man presented with a 2 month history of mild external anal discomfort. He gave a history of unprotected receptive and insertive anal intercourse with one partner in Europe during the preceding 6 months. No symptoms suggested proctitis and examination revealed two small anal fissures. An anal swab was positive for Chlamydia trachomatis; investigation for other STIs including HIV were negative. On review 6 days later, he was investigated and treated presumptively for LGV. The LGV diagnosis was confirmed by identifying the L2 serovar of C. trachomatis using a genotype test on the original anal specimen. This case is in keeping with the more recent reports of LGV from Europe, and has demonstrated the need for a high index of suspicion for asymptomatic or minimally symptomatic anorectal LGV.
authors.forename: Anna N
authors.initials: AN
authors.lastname: Morton
authors.forename: Christopher K
authors.initials: CK
authors.lastname: Fairley
authors.forename: Angelo M
authors.initials: AM
authors.lastname: Zaia
authors.forename: Marcus Y
authors.initials: MY
authors.lastname: Chen
mesh_terms: D000328:Adult; D001004:Anus Diseases / Q000175:diagnosis; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D018451:Homosexuality, Male; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000175:diagnosis*; D008297:Male; D012002:Rectal Diseases / Q000175:diagnosis*; D014739:Victoria