Lymphogranuloma venereum

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Lymphatic system

Overview Symptoms Treatment Prevention

Lymphogranuloma venereum

• Small painless ulcer on genitalia
• Swelling and redness of the skin over the inguinal lymph nodes
• Swollen groin (inguinal) lymph nodes on one or both sides
• Drainage from inguinal lymph nodes
• Drainage of blood or pus from the rectum (blood in the stools)
• Pain while having a bowel movement (tenesmus)

The medical history and physical examination may show:

• A history of sexual contact with a person having lymphogranuloma venereum
• An ulcer on an affected person's genitals
• A perianal fistula with drainage
• Inguinal lymph node enlargement (inguinal lymphadenopathy)
• Drainage from inguinal lymph nodes

• Biopsy of the node (chlamydia seen after staining)
• Culture of a node aspirate for chlamydia (a needle is inserted into the lymph node and fluid is pulled out of the node)
• Indirect immunofluorescence for chlamydia
• Serology test for LGV is the most useful

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