MMWR Morb Mortal Wkly Rep. 2004 Oct 29;53(42):985-8.
Lymphogranuloma venereum (LGV) is a systemic, sexually transmitted disease (STD) caused by a variety of the bacterium Chlamydia trachomatis that rarely occurs in the United States and other industrialized countries; the prevalence of LGV is greatest in Africa, Southeast Asia, Central and South America, and Caribbean countries. However, in the Netherlands, which typically has fewer than five cases a year, as of September 2004, a total of 92 cases of LGV had been confirmed during the preceding 17 months among men who have sex with men (MSM). The first 13 cases, diagnosed during April-November 2003, were reported by local health authorities in Rotterdam in December 2003. An alert was sent to the Early Warning and Reporting System of the European Union and to the European Surveillance of Sexually Transmitted Infections Network (ESSTI). In April 2004, a report was made to CDC, and state and local health departments were alerted. Of the 92 cases confirmed in the Netherlands, 30 occurred during 2003 and 62 during 2004. This report describes the ongoing investigation of the LGV outbreak. Health-care providers should be vigilant for LGV, especially among MSM exposed to persons from Europe, and prepared to diagnose the disease and provide appropriate treatment to patients and their exposed sex partners.
性病性淋巴肉芽肿（LGV）是一种由多种沙眼衣原体细菌引起的全身性性传播疾病（STD），在美国和其他工业化国家很少发生；LGV在非洲、东南亚、中美洲、南美洲和加勒比国家最为普遍。然而，在荷兰，通常每年病例数少于5例，截至2004年9月，在之前的17个月里，男男性行为者（MSM）中共确诊了92例LGV病例。最初的13例病例于2003年4月至11月期间诊断出来，2003年12月由鹿特丹当地卫生当局报告。已向欧盟早期预警和报告系统以及欧洲性传播感染监测网络（ESSTI）发出警报。2004年4月，向美国疾病控制与预防中心（CDC）提交了一份报告，并向州和地方卫生部门发出了警报。在荷兰确诊的92例病例中，30例发生在2003年，62例发生在2004年。本报告描述了对LGV疫情的持续调查情况。医疗服务提供者应警惕LGV，尤其是在接触过欧洲人的男男性行为者中，并准备好诊断该病并为患者及其接触过的性伴侣提供适当治疗。
