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Alternative namesLGV; Lymphogranuloma inguinale; Lymphopathia venereum
LGV is a sexually-transmitted disease (STD) caused by the bacteria Chlamydia trachomatis that causes inflammation and drainage of certain lymph nodes, and destruction and scarring of surrounding tissue.
Causes, incidence, and risk factors
Lymphogranuloma venereum (LGV) is caused by 3 subtypes of
and which are different organisms from the subtypes that cause eye disease, blindness , and the more common genital chlamydia .
The skin above the lymph node is often swollen (edematous) and red. These areas may appear to heal, but the patient will have repeated episodes of lymph node swelling and drainage. The patient may also have systemic signs including fever , decreased appetite , and malaise .
There are a few thousands cases of LGV each year in the US. The main risk factor is having multiple sexual partners.
Signs and testsThe medical history and physical examination may show:
TreatmentLymphogranuloma venereum can be cured by proper antibiotic therapy. Commonly prescribed medications include:
Expectations (prognosis)Recovery and a shorter course of illness is expected with treatment.
Calling your health care providerCall your health care provider if you suspect you have been exposed to lymphogranuloma venereum or you have symptoms suggestive of LVG.
Abstinence is the only absolute way to prevent sexually transmitted disease. Safer sex behaviors may reduce the risk. A monogamous sexual relationship with a person known to be free of any STD is advisable.
The use of condoms, either the male or female type, markedly decreases the likelihood of contracting a sexually-transmitted disease but they must be used properly. The condom should be in place from the beginning to end of sexual activity and should be used EVERY time the person engages in sexual activity with a non-monogamous or other suspect partner.
Condoms are effective and inexpensive considering the consequences of contracting a sexually transmitted disease.
Update Date: 8/5/2002Sonya Shin, M.D., Infectious Diseases Division, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT