| Head and neck manifestations of lymphogranuloma venereum. | |
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MedLine Citation:
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PMID: 18712700 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Lymphogranuloma venereum (LGV)--caused by Chlamydia trachomatis serovars L1, L2, or L3--rarely occurs in the United States. The disease clinically manifests in three stages: primary, secondary, and tertiary. The primary manifestation, a self-limited genital ulcer at the site of inoculation, often is absent by the time the patient seeks medical attention. The most common clinical manifestation of LGV is evident in its secondary stage: unilateral tender inguinal and/or femoral lymphadenopathy. However, proctocolitis or inflammatory involvement of perirectal or perianal lymphatic tissues resulting in fistulas and strictures may also occur. The diagnosis of LGV is usually made serologically and by exclusion of other causes of inguinal lymphadenopathy or genital ulcers. Doxycycline is the preferred treatment; it cures the infection and prevents ongoing tissue damage. This case highlights an unusual manifestation of LGV infection--cervical lymphadenopathy following suspected oropharyngeal infection with C trachomatis. Head and neck manifestations of LGV may become an increasing problem in the future if sexual practices such as orogenital contact become more widespread. |
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Authors:
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Diana T Albay; Glenn E Mathisen |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Ear, nose, & throat journal Volume: 87 ISSN: 1942-7522 ISO Abbreviation: Ear Nose Throat J Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-20 Completed Date: 2008-12-05 Revised Date: 2009-05-20 |
Medline Journal Info:
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Nlm Unique ID: 7701817 Medline TA: Ear Nose Throat J Country: United States |
Other Details:
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Languages: eng Pagination: 478-80 Citation Subset: IM |
Affiliation:
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Department of Infectious Diseases, UCLA Medical Center, Los Angeles, CA 91342, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Chlamydia Infections / complications, drug therapy, microbiology* Chlamydia trachomatis / isolation & purification* Head / microbiology*, pathology Humans Lymphogranuloma Venereum / drug therapy, microbiology* Neck / microbiology*, pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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