Juzlova Katerina, Rob Filip, Zakoucka Hana, Kubatova Andrea, Secnikova Zuzana, Krasova Martina, Bohac Petr, Hercogova Jana
Department of Dermatovenereology, Second Faculty of Medicine, Charles University and Hospital Bulovka, Budinova 2, 180 81, Prague 8, Czech Republic.
National Reference Laboratory for Diagnostics of Syphilis and Chlamydia Infections, National Institute of Public Health, Srobarova 48, 100 42, Prague 10, Czech Republic.
Folia Microbiol (Praha). 2018 Jan;63(1):93-95. doi: 10.1007/s12223-017-0538-3. Epub 2017 Jul 24.
We are reporting the first case of lymphogranuloma venereum in women in East-Central Europe. A 22-year-old heterosexual woman attended our department of venereology. She complained about a burning sensation in the urethra and vaginal discharge. Many tests were performed, and lymphogranuloma venereum, syphilis, gonorrhea, chlamydial urethritis and cervicitis, genital herpes, genital warts, and hepatitis C were diagnosed. Lymphogranuloma venereum was originally endemic in tropical and subtropical areas, but since 2003, outbreaks of this infection have been reported in North America, Europe, and Australia in men who have sex with men (MSM) community. To date, all cases of lymphogranuloma venereum in the Czech Republic appeared in men, predominantly in HIV-positive MSM. There are not many evidences about lymphogranuloma venereum (LGV) in women in developed countries. This report underlines the need for awareness of lymphogranuloma venereum in women among gynecologists, venereologists, and other physicians not only in Western Europe, but across all European countries.
我们报告了中东欧地区首例女性性病性淋巴肉芽肿病例。一名22岁的异性恋女性到我们的性病科就诊。她主诉尿道有烧灼感和阴道分泌物异常。进行了多项检查，诊断出患有性病性淋巴肉芽肿、梅毒、淋病、衣原体性尿道炎和宫颈炎、生殖器疱疹、尖锐湿疣以及丙型肝炎。性病性淋巴肉芽肿原本在热带和亚热带地区流行，但自2003年以来，北美、欧洲和澳大利亚的男男性行为者（MSM）群体中报告了该感染的暴发情况。迄今为止，捷克共和国所有性病性淋巴肉芽肿病例均出现在男性中，主要是艾滋病毒阳性的男男性行为者。在发达国家，关于女性性病性淋巴肉芽肿（LGV）的证据并不多。本报告强调，不仅在西欧，而且在所有欧洲国家，妇科医生、性病科医生和其他医生都需要提高对女性性病性淋巴肉芽肿的认识。
