Dosekun O, Edmonds S, Stockwell S, French P, White J A
Guy's and St Thomas' NHS Trust, Camden Provider Services, London, UK.
Int J STD AIDS. 2013 Jun;24(6):495-6. doi: 10.1177/0956462412472830. Epub 2013 Jun 24.
Lymphogranuloma venereum (LGV) is an established cause of proctitis in men who have sex with men (MSM). Currently in the UK, testing for pharyngeal Chlamydia trachomatis (CT) is not routine, and LGV typing is usually only performed in patients with anorectal symptoms. We report four cases where LGV-associated CT DNA was detected from the pharynx in MSM, demonstrating that nucleic acid amplification testing (NAAT) can be used for detecting and typing pharyngeal CT infection. These cases also highlight other possible routes of infection for LGV, and add to the broad spectrum of clinical presentations associated with this infection.
性病性淋巴肉芽肿（LGV）是男男性行为者（MSM）直肠炎的既定病因。目前在英国，咽部沙眼衣原体（CT）检测并非常规检测项目，LGV分型通常仅在有肛门直肠症状的患者中进行。我们报告了4例在MSM的咽部检测到LGV相关CT DNA的病例，证明核酸扩增检测（NAAT）可用于检测和分型咽部CT感染。这些病例还突出了LGV其他可能的感染途径，并增加了与这种感染相关的广泛临床表现。
