title: The clinical manifestations of anorectal infection with lymphogranuloma venereum (LGV) versus non-LGV strains of Chlamydia trachomatis: a case-control study in homosexual men.
abstract: Lymphogranuloma venereum (LGV) has recently been reported in men who have sex with men. In a case-control study we compared behavioural and clinical features of 32 men with LGV (cases) and 31 men with non-LGV chlamydial proctitis (controls). LGV was associated with rectal discharge (odds ratio [OR] 4.15, 95% confidence interval [CI] 1.42, 12.2), and there was a tendency to association with HIV infection (OR 3.60, CI 0.67-19.4), sexual contact in the UK (OR 3.03, CI 1.02-9.01) and fisting (OR 5.04, CI 0.98-26.1). LGV should be considered a possible diagnosis in men with rectal discharge.
authors.affiliation: Department of Genitourinary Medicine, The Mortimer Market Centre, Camden PCT, London, UK. matthewhamill@yahoo.co.uk
authors.forename: M
authors.initials: M
authors.lastname: Hamill
authors.forename: P
authors.initials: P
authors.lastname: Benn
authors.forename: C
authors.initials: C
authors.lastname: Carder
authors.forename: A
authors.initials: A
authors.lastname: Copas
authors.forename: H
authors.initials: H
authors.lastname: Ward
authors.forename: C
authors.initials: C
authors.lastname: Ison
authors.forename: P
authors.initials: P
authors.lastname: French
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D002692:Chlamydia trachomatis / Q000472:pathogenicity*; D018451:Homosexuality, Male; D006801:Humans; D008131:London; D008219:Lymphogranuloma Venereum / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012725:Sexual Behavior; D047568:Unsafe Sex