Lymphogranuloma Venereum in Emergency Medicine Follow-up

  • Author: Andrew C Bushnell, MD, FACEP; Chief Editor: Rick Kulkarni, MD   more...
 
Updated: Aug 17, 2009
 

Deterrence/Prevention

  • Infection confers little or no protective immunity against future infection.
  • Sexual contacts should be referred for evaluation and possible treatment.
  • Encourage the practice of safe sex.
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Complications

  • Primary lymphogranuloma venereum (LGV)
    • Bubonuli may rupture to form sinuses or fistulas. This may result in long-term complications, including fibrosis and deforming scars at the penile base.
    • In women, cervicitis, perimetritis, or salpingitis may occur.
  • Tertiary LGV - Complete bowel obstruction from rectal stricture
  • Other complications of LGV include arthritis, conjunctivitis, hepatomegaly and, rarely, pericarditis, pneumonia, and meningoencephalitis.
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Prognosis

  • Generally, full recovery is expected with appropriate treatment.
  • Reinfection/relapse may occur.
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Patient Education

For excellent patient education resources, visit eMedicine's Pregnancy and Reproduction Center and Sexually Transmitted Diseases Center. Also, see eMedicine's patient education articles Sexually Transmitted Diseases, Birth Control Overview, Birth Control FAQs, and Chlamydia.

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Contributor Information and Disclosures
Author

Andrew C Bushnell, MD, FACEP  Department of Surgery, Division of Emergency Medicine, Assistant Professor, University of Vermont College of Medicine

Andrew C Bushnell, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Eric M Kardon, MD, FACEP  Attending Emergency Physician, Georgia Emergency Medicine Specialists; Physician, Division of Emergency Medicine, Athens Regional Medical Center

Eric M Kardon, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

Jeter (Jay) Pritchard Taylor III, MD  Compliance Officer, Attending Physician, Emergency Medicine Residency, Department of Emergency Medicine, Palmetto Health Richland, University of South Carolina School of Medicine; Medical Director, Department of Emergency Medicine, Palmetto Health Baptist

Jeter (Jay) Pritchard Taylor III, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

John D Halamka, MD, MS  Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Rick Kulkarni, MD 

Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: WebMD Salary Employment

References

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