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| Alternative Names: | LGV; Lymphogranuloma inguinale; Lymphopathia venereum
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| Symptoms: | - Small painless ulcer on genitalia
- Swelling and redness of the skin over the inguinal lymph nodes
- Swollen groin (inguinal) lymph nodes on one or both sides
- Drainage from inguinal lymph nodes
- Drainage of blood or pus from the rectum (blood in the stools)
- Pain while having a bowel movement (tenesmus)
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| Signs and tests: | The medical history and physical examination may show:
- A history of sexual contact with a person having lymphogranuloma venereum
- An ulcer on an affected person's genitals
- A perianal fistula with drainage
- Inguinal lymph node enlargement (inguinal lymphadenopathy)
- Drainage from inguinal lymph nodes
Tests:
- Biopsy of the node (chlamydia seen after staining)
- Culture of a node aspirate for chlamydia (a needle is inserted into the lymph node and fluid is pulled out of the node)
- Indirect immunofluorescence for chlamydia
- Serology test for LGV is the most useful
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Review Date: 8/5/2002
Reviewed By: Sonya Shin, M.D., Infectious Diseases Division, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.
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