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Abstract

United Kingdom (UK) national data show a sharp increase in diagnoses of lymphogranuloma venereum (LGV) since 2012. Most cases are in men who have sex with men (MSM) living in London, with high rates of co-infection with HIV and other sexually transmitted infections. In light of these data, and the recent finding that one quarter of LGV infections may be asymptomatic, clinicians should be vigilant in testing for LGV, including in asymptomatic HIV-positive MSM.

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/content/10.2807/1560-7917.ES.2015.20.48.30076
2015-12-03
2017-11-25
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2015.20.48.30076
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References

  1. Hughes G, Nichols T, Peters L, Bell G, Leong G, Kinghorn G. Repeat infection with gonorrhoea in Sheffield, UK: predictable and preventable? Sex Transm Infect. 2013;89(1):38-44.  https://doi.org/10.1136/sextrans-2012-050495  PMID: 22717472 
  2. Hughes G, Alexander S, Simms I, Conti S, Ward H, Powers C, et al. LGV Incident Group. Lymphogranuloma venereum diagnoses among men who have sex with men in the U.K.: interpreting a cross-sectional study using an epidemic phase-specific framework. Sex Transm Infect. 2013;89(7):542-7.  https://doi.org/10.1136/sextrans-2013-051051  PMID: 23851189 
  3. Savage EJ, Mohammed H, Leong G, Duffell S, Hughes G. Improving surveillance of sexually transmitted infections using mandatory electronic clinical reporting: the genitourinary medicine clinic activity dataset, England, 2009 to 2013. Euro Surveill. 2014;19(48):20981.
  4. Nieuwenhuis RF, Ossewaarde JM, Götz HM, Dees J, Thio HB, Thomeer MG, et al. Resurgence of lymphogranuloma venereum in Western Europe: an outbreak of Chlamydia trachomatis serovar l2 proctitis in The Netherlands among men who have sex with men. Clin Infect Dis. 2004;39(7):996-1003.  https://doi.org/10.1086/423966  PMID: 15472852 
  5. Ward H, Martin I, Macdonald N, Alexander S, Simms I, Fenton K, et al. Lymphogranuloma venereum in the United kingdom. Clin Infect Dis. 2007;44(1):26-32.  https://doi.org/10.1086/509922  PMID: 17143811 
  6. Savage EJ, van de Laar MJ, Gallay A, van der Sande M, Hamouda O, Sasse A, et al. Lymphogranuloma venereum in Europe, 2003-2008. Euro Surveill. 2009 Dec 3;14(48). pii: 19428.
  7. Tinmouth J, Rachlis A, Wesson T, Hsieh E. Lymphogranuloma venereum in North America: case reports and an update for gastroenterologists. Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological Association. 2006;4(4):469-73.
  8. Simms I, Ward H, Martin I, Alexander S, Ison C. Lymphogranuloma venereum in Australia. Sex Health. 2006;3(3):131-3.  https://doi.org/10.1071/SH06039  PMID: 17044217 
  9. Jebbari H, Alexander S, Ward H, Evans B, Solomou M, Thornton A, et al. UK LGV Incident Group. Update on lymphogranuloma venereum in the United Kingdom. Sex Transm Infect. 2007;83(4):324-6.  https://doi.org/10.1136/sti.2007.026740  PMID: 17591663 
  10. Patel S, Hay P. Lymphogranuloma venereum and HIV infection: misdiagnosed as Crohn's disease. BMJ case reports. 2010.
  11. Forrester B, Pawade J, Horner P. The potential role of serology in diagnosing chronic lymphogranuloma venereum (LGV): a case of LGV mimicking Crohn’s disease. Sex Transm Infect. 2006;82(2):139-40, discussion 141.  https://doi.org/10.1136/sti.2005.016667  PMID: 16581740 
  12. Saxon C, Hughes G, Ison C, for the UK LGV Case-Finding Group. Asymptomatic Lymphogranuloma Venereum Infection in Men who Have Sex with Men, United Kingdom. Emerg Infect Dis. Forthcoming 2016.
  13. Koper NE, van der Sande MA, Gotz HM, Koedijk FD. Lymphogranuloma venereum among men who have sex with men in the Netherlands: regional differences in testing rates lead to underestimation of the incidence, 2006-2012. Euro Surveill. 2013 Aug 22;18(34). pii: 20561.
  14. Jebbari H, Simms I, Conti S, Marongiu A, Hughes G, Ward H, et al. Variations in the epidemiology of primary, secondary and early latent syphilis, England and Wales: 1999 to 2008. Sex Transm Infect. 2011;87(3):191-8.  https://doi.org/10.1136/sti.2009.040139  PMID: 21262786 
  15. Hughes G, Field N. The epidemiology of sexually transmitted infections in the UK: impact of behavior, services and interventions. Future Microbiol. 2015;10(1):35-51.  https://doi.org/10.2217/fmb.14.110  PMID: 25598336 
  16. Simms I, Gilbart VL, Byrne L, Jenkins C, Adak GK, Hughes G, et al. Identification of verocytotoxin-producing Escherichia coli O117:H7 in men who have sex with men, England, November 2013 to August 2014. Euro Surveill. 2014 Oct 30;19(43). pii: 20946.
  17. Simms I, Field N, Jenkins C, Childs T, Gilbart VL, Dallman TJ, et al. Intensified shigellosis epidemic associated with sexual transmission in men who have sex with men--Shigella flexneri and S. sonnei in England, 2004 to end of February 2015. Euro Surveill. 2015 Apr 16;20(15). pii: 21097.
  18. Thackeray R, Neiger BL, Smith AK, Van Wagenen SB. Adoption and use of social media among public health departments. BMC Public Health. 2012;12(1):242.  https://doi.org/10.1186/1471-2458-12-242  PMID: 22449137 
  19. Nwokolo NC, Dragovic B, Patel S, Tong CW, Barker G, Radcliffe K. 2015 UK national guideline for the management of infection with Chlamydia trachomatis. Int J STD AIDS. 2015.  https://doi.org/10.1177/0956462415615443  PMID: 26538553 
  20. Costelloe C, Metcalfe C, Lovering A, Mant D, Hay AD. Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis. BMJ. 2010;340(may18 2):c2096.  https://doi.org/10.1136/bmj.c2096  PMID: 20483949 
  21. Mohrmann G, Noah C, Sabranski M, Sahly H, Stellbrink HJ. Ongoing epidemic of lymphogranuloma venereum in HIV-positive men who have sex with men: how symptoms should guide treatment. J Int AIDS Soc. 2014;17(4) Suppl 3;19657. PMID: 25394161 
  22. White J, O’Farrell N, Daniels DBritish Association for Sexual Health and HIV. 2013 UK National Guideline for the management of lymphogranuloma venereum: Clinical Effectiveness Group of the British Association for Sexual Health and HIV (CEG/BASHH) Guideline development group. Int J STD AIDS. 2013;24(8):593-601.  https://doi.org/10.1177/0956462413482811  PMID: 23970591 
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