title: Notes from the Field: Cluster of Lymphogranuloma Venereum Cases Among Men Who Have Sex with Men - Michigan, August 2015-April 2016.
abstract: Lymphogranuloma venereum (LGV) is a sexually transmitted disease (STD) caused by infection with invasive Chlamydia trachomatis serovars L1-L3 (1). LGV is characterized by inguinal and/or femoral lymphadenopathy, typically following a transient, self-limited genital ulcer or papule that might go unnoticed. Rectal infection can result in proctocolitis that can present with mucoid and/or hemorrhagic rectal discharge, anal pain, constipation, fever, and tenesmus, and signs of granulomas and/or ulcerations on anoscopy (1,2). LGV can be an invasive, systemic infection, and if it is not treated early, LGV proctocolitis can lead to chronic colorectal fistulas and strictures (2). In Europe, outbreaks of LGV have been reported among men who have sex with men (MSM), often in association with human immunodeficiency virus (HIV) coinfection (3-5). The prevalence of LGV in the United States is unknown (1), because diagnostic tests to differentiate LGV from non-LGV Chlamydia trachomatis are not widely available (6), and providers might not know that they should report cases that are presumptively treated.
authors: Alex
authors: A
authors: de Voux
authors: James B
authors: JB
authors: Kent
authors: Kathryn
authors: K
authors: Macomber
authors: Karen
authors: K
authors: Krzanowski
authors: Dawn
authors: D
authors: Jackson
authors: Tayneata
authors: T
authors: Starr
authors: Sandra
authors: S
authors: Johnson
authors: Deborah
authors: D
authors: Richmond
authors: Lawrence R
authors: LR
authors: Crane
authors: Jonathan
authors: J
authors: Cohn
authors: Christopher
authors: C
authors: Finch
authors: Jevon
authors: J
authors: McFadden
authors: Allan
authors: A
authors: Pillay
authors: Cheng
authors: C
authors: Chen
authors: Laurie
authors: L
authors: Anderson
authors: Ellen N
authors: EN
authors: Kersh
mesh_terms: D000328:Adult; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D016000:Cluster Analysis; D003937:Diagnosis, Differential; D015658:HIV Infections / Q000453:epidemiology; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000175:diagnosis* / Q000453:epidemiology; D008297:Male; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D055815:Young Adult