Lymphogranuloma Venereum (LGV) in Emergency Medicine Treatment & Management

Updated: Apr 02, 2021
  • Author: Kristyn J Smith, DO; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Emergency Department Care

Aspiration of fluctuant buboes may prevent spontaneous rupture and reduce morbidity.

At least 3 weeks of antibiotic therapy is needed to treat ongoing infection. [15]

Patients with lymphogranuloma venereum (LGV) have been known to harbor other sexually transmitted diseases. Thus testing for other STDs, such as HIV, gonorrhea, syphilis, hepatitis B should be considered. 

Symptomatic treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) may be beneficial.

Local heat may provide minor pain relief.



In the acute bubonic stage, consultation with a surgeon may be considered for the aspiration of fluctuant nodes.



The methods for prevention of LGV are the same as prevention of other sexually transmitted infections (STI). Limiting the number of sex partners and use of barrier protection, including male or female condoms and dental dams are the best methods for prevention.