Lymphogranuloma Venereum

LGV; LYMPHOGRANULOMA INGUINALE

A contagious venereal decease that involves the genitals and lymph glands. This disease is found mostly in tropical and subtropical areas.

FREQUENT SIGNS AND SYMPTOMS

The following begin 1 to 4 weeks after exposure and progress in order:

  • A painless blister on the genital which ulcerates (become an open and runny sore) and then heals quickly.
  • Enlarged lymph glands in the groin that form large, red, tender masses.
  • Multiple areas of deep infection that discharge thick pus and blood-sustained material.
    Other symptoms include:

    • Fever.
    • Muscle aches and pain, including backache.
    • Headaches.
    • Joint loss.
    • Appetite loss.
    • Vomiting.

CAUSES

The bacterium Chlamydia, which is transmitted by sexual activity. Incubation period is about 3 to 12 days.

RISK INCREASES WITH

  • Travel to a country with a tropical or subtropical climate.
  • Anal intercourse.
  • Unprotected sexual activity with new partners.

PREVENTIVE MEASURES

  • Use condoms during sexual intercourse with new partners.
  • Don’t engage in sexual activity with an infected person.

EXPECTED OUTCOME

Usually curable in 6 weeks if treatment is successful. If not, the disorder is incurable, although it does not reduce the life expectancy.

POSSIBLE COMPLICATIONS

  • Chronic infection.
  • Interference with bowel and bladder function.

MANAGEMENT
GENERAL MEASURES

  • Diagnostic tests may include studies, such as a blood test to rule out syphilis; a culture of the discharge from the lesions and antibody tests for the Chlamydia organism.
  • Heat applied to affected area may help discomfort.
  • Surgery to drain affected lymph glands or remove an abscess (a collection of pus as a result of an infection) and an internal organ to the body surface).
  •  Your sexual contacts should be examined also.
  • Antibiotics to fight infection are taken for 21 days.
  • Stronger pain relievers may be prescribed.

ACTIVITY

After treatment, resume normal activity as soon as symptoms improve. Don’t resume relations until completely healed.