Lymphogranuloma Venerum

It is a STD caused by Chlamydia tracomatis(L1,2,3)

Clinical features:

Primary lesions are 2 to 3mm vesicles or erosions over genitalia
Secondary-inguinal lymphadenopathy occurs after 2 weeks become swollen and tender
Bubo-ulcerated
Groove sign-due to swollen inguinal and femoral lymphnode(Inguinal ligament become tight-due to involvement of femoral and inguinal lymphnode)

Lymphogranuloma Venerum pictures:

Diagnosis:

1. Giemsa stain-lymphnode aspirate isolation of LGV agent
2. LGV-CFT
3. Microhemoagglutination test-confirm species and strain (L1,2,3)

Treatment:

Doxycycline 100mg for 21 days or Eryrhromycin
500mg q.d.s for 21 days