Infectious Disease Compendium

Lymphogranuloma Venereum

Diagnosis

Severs, malaise and inguinal lymphadenopathy. Can cause proctitis.

Epidemiologic Risks

Sex in Africa, India, Southeast Asia, South America, and the Caribbean where it is endemic. Increasing in the US as of 2005, esp the rectal form in gay men.

Microbiology

C. trachomatis.

Empiric Therapy

Doxycycline 100 mg bid for 21 d OR erythromycin OR tmp/sulfa. Aspirate fluctuant buboes to prevent sinus tract formation.

Pearls

Rants

ICD9 Codes (Soon to be supplanted by ICD10)

lymphogranuloma venereum 099.1.