Lymphogranuloma Venereum (LGV) in Emergency Medicine Follow-up

Updated: May 23, 2017
  • Author: Jesse Tran, DO; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Follow-up

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 may occur.

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 eMedicineHealth's Pregnancy Center and Sexual Health Center. Also, see eMedicineHealth's patient education articles Sexually Transmitted Diseases, Birth Control Overview, Birth Control Methods, and Chlamydia.

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