北美地区的性病性淋巴肉芽肿：病例报告及给胃肠病学家的最新资讯
Lymphogranuloma venereum in North America: case reports and an update for gastroenterologists.
作者信息
Tinmouth Jill, Rachlis Anita, Wesson Trevor, Hsieh Eugene
机构信息
Division of Gastroenterology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Canada.
出版信息
Clin Gastroenterol Hepatol. 2006 Apr;4(4):469-73. doi: 10.1016/j.cgh.2005.12.006.
BACKGROUND & AIMS: In 2003, a sharp increase in cases of lymphogranuloma venereum (LGV) caused by Chlamydia trachomatis in men who have sex with men was reported in Europe and, recently, cases of LGV have been reported in North America.
METHODS
We reviewed 3 cases of LGV proctitis recently diagnosed in Canada.
RESULTS
All 3 cases occurred in men who had sex with men; 2 of the patients had human immunodeficiency virus infection and 1 subsequently seroconverted. A delay in diagnosis occurred in all 3 patients: 2 patients were misdiagnosed initially with inflammatory bowel disease and 1 patient was treated as a case of non-LGV C trachomatis.
CONCLUSIONS
Given the recent outbreak, gastroenterologists in Europe and North America need to be familiar with the diagnosis and treatment of LGV because it mimics inflammatory bowel disease endoscopically and histologically.
背景与目的
2003年，欧洲报告了由沙眼衣原体引起的男性同性恋者性病性淋巴肉芽肿（LGV）病例急剧增加，最近，北美洲也报告了LGV病例。
方法
我们回顾了加拿大最近诊断出的3例LGV直肠炎病例。
结果
所有3例均发生在男性同性恋者中；2例患者感染了人类免疫缺陷病毒，1例随后血清转化。所有3例患者均出现诊断延迟：2例患者最初被误诊为炎症性肠病，1例患者被当作非LGV沙眼衣原体病例进行治疗。
结论
鉴于最近的疫情爆发，欧洲和北美洲的胃肠病学家需要熟悉LGV的诊断和治疗，因为它在内镜检查和组织学上与炎症性肠病相似。
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