title: Reactive arthritis associated with proctitis due to Chlamydia trachomatis serovar L2b.
abstract: We report the first case of reactive arthritis associated with lymphogranuloma venereum (LGV) proctitis in Australia. Since 2004, LGV proctitis has emerged as an important infection worldwide in men who have sex with men. While reactive arthritis is usually associated with serovars D to K of Chlamydia trachomatis, association with LGV serovars is historically rare. Screening for chlamydial infection should be considered in this group if they present with an acute arthritis otherwise the condition could go undiagnosed. Asymptomatic infections are being increasingly reported in Europe and prolonged treatment is required to ensure a cure.
authors.affiliation: Department of Microbiology, Pathology NSW, Bella Vista, Sydney, Australia. stella.pendle@healthscope.com.au
authors.forename: Stella
authors.initials: S
authors.lastname: Pendle
authors.forename: Andrew
authors.initials: A
authors.lastname: Gowers
mesh_terms: D000284:Administration, Oral; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016918:Arthritis, Reactive / Q000209:etiology*; D001315:Australia; D002690:Chlamydia Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D002692:Chlamydia trachomatis / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D004318:Doxycycline / Q000627:therapeutic use; D015658:HIV Infections / Q000821:virology; D018451:Homosexuality, Male; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D011349:Proctitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D012725:Sexual Behavior; D012747:Sexual Partners
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline