Lymphogranuloma venereum
Alternative names:
LGV; lymphogranuloma inguinale; lymphopathia venereum
Symptoms:
- pain while having a bowel movement (tenesmus)
- small painless ulcer on genitalia
- swollen groin (inguinal) lymph nodes on one or both sides
- drainage from inguinal lymph nodes
- swelling and redness of the skin over the inguinal lymph nodes
- drainage of blood or pus from the rectum (blood in the stools)
Signs and tests:
The medical history and physical examination may show: - a history of sexual contact with a person having lymphogranuloma venereum
- an ulcer on an affected woman's vaginal wall
- an ulcer on an affected woman's cervix
- a perianal fistula with drainage
- inguinal lymph node enlargement (inguinal lymphadenopathy)
- suppuration and drainage of inguinal lymph nodes
Tests: - CBC
- syphilis tests that can be falsely positive
- 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
This disease may also change the results of:
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