Gormsen Andreas Brandt, Diernæs Jon Erik Fraes, Jensen Jørgen Skov, Koppelhus Uffe
Ugeskr Laeger. 2018 May 14;180(20).
This is a case report of lymphogranuloma venereum (LGV) manifesting as haemorrhagic proctocolitis in a homosexual HIV-positive male. The primary symptom was a rectal abscess, which was initially surgically treated and subsequently insufficiently treated with single-dose tablet azithromycin. The patient's symptoms were successfully treated after a 21-day doxycycline regime. LGV is a se xually transmitted infection with a rising incidence among persons with risk behaviour. This case report underlines the importance, that all positive rectal screenings for Chlamydia trachomatis should be routinely serotyped.
这是一例关于一名感染艾滋病毒的同性恋男性出现表现为出血性直肠结肠炎的性病性淋巴肉芽肿（LGV）的病例报告。主要症状为直肠脓肿，最初接受了手术治疗，随后仅用单剂量阿奇霉素片剂治疗，效果不佳。在接受了为期21天的强力霉素治疗后，患者症状得到成功缓解。LGV是一种性传播感染，在有高危行为的人群中发病率呈上升趋势。本病例报告强调了一个重要性，即所有沙眼衣原体直肠筛查阳性结果都应常规进行血清分型。
