Saturday, February, 11, 2012

Lymphogranuloma venereum

Table of Contents

Alternative Names

LGV; Lymphogranuloma inguinale; Lymphopathia venereum


Symptoms

Symptoms of LGV can begin a few days to a month after coming in contact with the bacteria. Symptoms include:

  • Small painless ulcer on the male genitalia or in the female genital tract
  • Swelling and redness of the skin in the groin area
  • Swollen groin lymph nodes on one or both sides; it may also affect lymph nodes around the rectum in those who have anal intercourse
  • Drainage through the skin from lymph nodes in groin
  • Blood or pus from the rectum (blood in the stools)
  • Painful bowel movements (tenesmus)
  • Swelling of the labia

The infection can cause diarrhea and lower abdominal pain. Women may develop abnormal connections called fistulas between the vagina and rectum.


Signs and tests

The health care provider will perform a physical examination and ask questions about your medical history. It is important to tell your doctor if you had sexual contact with someone who has had lymphogranuloma venereum.

A physical exam may show:

  • An ulcer on the genitals
  • An oozing, abnormal connection (fisula) in the rectal area
  • Swollen lymph nodes in the groin (inguinal lymphadenopathy)
  • Drainage through the skin from lymph nodes in the groin
  • Swelling of the vulva or labia in women

Tests may include:

  • Biopsy of the lymph node
  • Blood test for the bacteria that causes LGV
  • Laboratory test to detect chlamydia

Review Date: 07/29/2009
Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington ; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)