While Lymphogranuloma Venereum (LGV) usually affects the anogenital and inguinal regions it may also cause pharyngitis.
Clinical features:
(1) The patient may have anogenital LGV and/or inguinal lymphadenopathy.
(2) The patient may or may not have a pharyngitis.
(3) Testing of the pharynx identifies Chlamydia trachomatis.
(4) Molecular genotyping identifies it as the L2 serovar.
(5) The patient may have other sexually-transmitted diseases (STDs), including HIV.
The presence of LGV in a positve pharyngeal test for Chlamydia may go unrecognized if genotyping is not performed.
Anogenital LGV may be associated with ulceration, pain, bloody discharge and lymphadenopathy.
Pharyngitis may be associated with cervical lymphadenopathy, odynophagia and tongue ulcer.
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Specialty: Infectious Diseases, Obstetrics & Gynecology, Urology
