The potential role of serology in diagnosing chronic lymphogranuloma venereum (LGV): a case of LGV mimicking Crohn's disease.

Abstract:

:We present the case of a 26 year old HIV positive homosexual man who was managed for suspected Crohn's disease for over 1 year before lymphogranuloma venereum (LGV) was clinically diagnosed. He had presented with constipation, secondary to acute haemorrhagic proctitis, and subsequently had two chlamydia negative rectal smears, using direct fluorescent antibody (DFA) Chlamydia trachomatis staining. Positive chlamydial serology guided retrospective testing of an early rectal biopsy, which was found to have C trachomatis by polymerase chain reaction (Roche Cobas) and identified as LGV serovar L2 by the Sexually Transmitted Bacteria Reference Laboratory (STBRL), Health Protection Agency (HPA), Colindale, London. Chlamydial serology may have a role in identifying late stage LGV infection. Although no standardised test currently exists, consideration should be given to evaluating the role of chlamydial serology in establishing a diagnosis of LGV.

journal_name

Sex Transm Infect

authors

Forrester B,Pawade J,Horner P

doi

10.1136/sti.2005.016667

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

139-40; discussion 141

issue

2

eissn

1368-4973

issn

1472-3263

pii

82/2/139

journal_volume

82

pub_type

杂志文章
  • Screening for syphilis during pregnancy in Nigeria: a practice that must continue.

    abstract:OBJECTIVE:To determine the seroprevalence rate of syphilis among pregnant women attending the antenatal clinics of a teaching and a state specialist hospital in Nigeria, in order to ascertain whether maternal screening should be incorporated into routine antenatal care of our hospitals. METHODS:A screening for syphili...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2006.023416

    authors: Taiwo SS,Adesiji YO,Adekanle DA

    更新日期:2007-08-01 00:00:00

  • Is confirmatory testing of Roche cobas 4800 CT/NG test Neisseria gonorrhoeae positive samples required? Comparison of the Roche cobas 4800 CT/NG test with an opa/pap duplex assay for the detection of N gonorrhoeae.

    abstract:OBJECTIVES:Recently marketed nucleic acid amplification tests (NAAT) for the detection of Neisseria gonorrhoeae (NG) have improved specificity over previous generation assays. A study to assess the necessity for confirmation of Roche cobas 4800 NG positive samples was undertaken by the Public Health Wales Microbiology ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2013-051410

    authors: Perry MD,Jones RN,Corden SA

    更新日期:2014-06-01 00:00:00

  • Investigating ethnic differences in sexual health: focus groups with young people.

    abstract:OBJECTIVES:To compare normative beliefs about sexual health in young men and women from black Caribbean, black African, and white ethnic groups in order to better understand ethnic inequalities in sexual health. METHODS:Focus group discussions with young people living in an area with known high prevalence of gonorrhoe...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2003.005181

    authors: Connell P,McKevitt C,Low N

    更新日期:2004-08-01 00:00:00

  • Escalation in the relative prevalence of ciprofloxacin-resistant gonorrhoea among men with urethral discharge in two South African cities: association with HIV seropositivity.

    abstract:OBJECTIVES:The objectives of this study were to assess the prevalence of ciprofloxacin-resistant gonorrhoea in two South African cities and to investigate the association between the isolation of ciprofloxacin-resistant Neisseria gonorrhoeae and the HIV serostatus of patients. METHODS:Gonococci were cultured from endo...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.2007.029611

    authors: Lewis DA,Scott L,Slabbert M,Mhlongo S,van Zijl A,Sello M,du Plessis N,Radebe F,Wasserman E

    更新日期:2008-10-01 00:00:00

  • Herpes simplex virus type 2: epidemiology and management options in developing countries.

    abstract::Genital herpes simplex virus type 2 (HSV2) is highly prevalent worldwide and an increasingly important cause of genital ulcer disease (GUD). Continued HSV2 transmission is facilitated by the large number of undiagnosed cases, the frequency of atypical disease and the occurrence of asymptomatic shedding. The lack of ea...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sti.2006.020966

    authors: Paz-Bailey G,Ramaswamy M,Hawkes SJ,Geretti AM

    更新日期:2007-02-01 00:00:00

  • Projected cost-savings with herpes simplex virus screening in pregnancy: towards a new screening paradigm.

    abstract:OBJECTIVES:Herpes simplex virus (HSV) infections in newborns are an uncommon but potentially devastating consequence of genital HSV infection in women. Current practice focuses on preventing perinatal transmission by women with prevalent HSV, but transmission risk is greatest when genital HSV is acquired for the first ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2010.045559

    authors: Tuite AR,McCabe CJ,Ku J,Fisman DN

    更新日期:2011-03-01 00:00:00

  • A national survey of genitourinary medicine clinic attenders provides little evidence of sexual transmission of hepatitis C virus infection.

    abstract:OBJECTIVE:To determine the prevalence and genetic diversity of hepatitis C virus in genitourinary medicine clinic attenders and to assess the extent of sexual transmission of the virus. METHODS:A cross sectional, unlinked, anonymous survey in 14 genitourinary medicine clinics situated in England, Wales, and Northern I...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.79.4.301

    authors: Balogun MA,Ramsay ME,Parry JV,Donovan L,Andrews NJ,Newham JA,McGarrigle C,Harris KA,Teo CG

    更新日期:2003-08-01 00:00:00

  • Maximising the potential of voluntary counselling and testing for HIV: sexually transmitted infections and HIV epidemiology in a population testing for HIV and its implications for practice.

    abstract:OBJECTIVES:This study aimed to describe the epidemiology of HIV infection and sexually transmitted infections (STIs) among persons who attended voluntary counselling and testing (VCT) service for HIV and to assess whether the VCT programme reached the right population at risk in Taiwan. METHODS:From 2006 to 2010, ques...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2011-050354

    authors: Wu H,Wu PY,Li SY,Chang SY,Liu WC,Wu CH,Lo YC,Hsieh CY,Sun HY,Hung CC

    更新日期:2012-12-01 00:00:00

  • Self-administered interventions for anogenital warts in immunocompetent patients: a systematic review and meta-analysis.

    abstract:BACKGROUND:Anogenital warts (AGWs, condylomata acuminata) are among the most common STIs and may severely impact quality of life (QoL). Available treatment options are characterised by a high proportion of non-responders and recurrences. OBJECTIVE:To systematically review and meta-analyse the available evidence from r...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/sextrans-2016-052768

    authors: Werner RN,Westfechtel L,Dressler C,Nast A

    更新日期:2017-05-01 00:00:00

  • Screening for HIV infection in genitourinary medicine clinics: a lost opportunity? British Co-operative Clinical Group.

    abstract:OBJECTIVES:To examine the policy and practice of HIV testing in genitourinary medicine clinics in the United Kingdom. DESIGN:All 176 consultants in charge of genitourinary medicine clinics in the United Kingdom were sent a policy and practice questionnaire. A self selected group of 53 clinics conducted a retrospective...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.76.4.307

    authors:

    更新日期:2000-08-01 00:00:00

  • Genitourinary medicine clinic and general practitioner contact: what do patients want?

    abstract:OBJECTIVES:While genitourinary medicine (GUM) records have historically been kept separate from other medical data, patient information is increasingly shared across the NHS. There are advantages to this in GUM: GPs are increasingly involved in delivering targets for STI screening and sexual health services. We ascerta...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2007.026922

    authors: Fernando I,Clutterbuck D

    更新日期:2008-02-01 00:00:00

  • Reaching homeless youths for Chlamydia trachomatis and Neisseria gonorrhoeae screening in Denver, Colorado.

    abstract:BACKGROUND AND RATIONALE:The availability of urine based testing for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) provides a unique opportunity to screen for these pathogens outside traditional clinical settings. The researchers investigated the feasibility of street based CT/GC screening in the context of...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.78.5.357

    authors: Van Leeuwen JM,Rietmeijer CA,LeRoux T,White R,Petersen J

    更新日期:2002-10-01 00:00:00

  • Inferior vena cava filters for HIV infected patients with pulmonary embolism and contraindications to anticoagulation.

    abstract:OBJECTIVES:To describe the mode of presentation, interventions, and outcome of HIV infected patients with pulmonary embolism and a contraindication to anticoagulation, who were treated with a bird's nest filter. METHODS:Retrospective review of case records and imaging department database at UCL Hospitals, London, UK. ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.76.5.395

    authors: Shahmanesh M,Brooks J,Shaw PJ,Miller RF

    更新日期:2000-10-01 00:00:00

  • Reductions in sexually transmitted infections associated with popular opinion leaders in China in a randomised controlled trial.

    abstract:OBJECTIVES:A community level randomised controlled trial of a Community Popular Opinion Leader (C-POL) intervention to reduce bacterial and viral sexually transmitted infections (STIs) and unprotected extramarital sex was carried out over 2 years in five countries. The main study results did not find significant interv...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/sti.2010.046243

    authors: Rotheram-Borus MJ,Wu Z,Liang LJ,Li L,Detels R,Guan J,Yin Y,Swendeman D,NIMH Collaborative HIV\/STD Prevention Trial Group.

    更新日期:2011-06-01 00:00:00

  • Diagnosis of sexually transmitted infections in female prostitutes in Dakar, Senegal.

    abstract:OBJECTIVE:To study the validity and performance of a number of rapid indicators for the diagnosis of sexually transmitted infections (STIs) in female prostitutes in Dakar, Senegal; characteristics of these indicators were rapidly obtainable, easy to perform, accurate, useful at district level, and reasonable cost. MET...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:

    authors: Ndoye I,Mboup S,De Schryver A,Van Dyck E,Moran J,Samb ND,Sakho ML,Thior I,Wade A,Heymann DL,Meheus A

    更新日期:1998-06-01 00:00:00

  • Homosexual men's HIV related sexual risk behaviour in Scotland.

    abstract:OBJECTIVE:To date, the epidemic of HIV infection in Scotland has been primarily associated with injecting drug use. However, the epidemiology of HIV in Scotland changed in the late 1980s, with homosexual men becoming the largest group at risk of HIV infection and AIDS. Our aim was to describe homosexual men's sexual ri...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.75.4.242

    authors: Hart GJ,Flowers P,Der GJ,Frankis JS

    更新日期:1999-08-01 00:00:00

  • Young persons' access to genitourinary medicine clinics in the UK: a cross-sectional survey.

    abstract:STUDY DESIGN:This service evaluation of genitourinary medicine (GUM) clinics in the UK was designed to quantify access for young people requesting to be seen and to establish whether they could be seen outside school hours. METHODS:In December 2009 postal questionnaires were sent to all lead clinicians in UK GUM clini...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2011-050236

    authors: Thomas M,Dixon K,Ali AH,Patel R,Robinson AJ,Yuen HM,Foley E

    更新日期:2012-08-01 00:00:00

  • Hormonal contraception and risk of STIs and bacterial vaginosis in South African adolescents: secondary analysis of a randomised trial.

    abstract:OBJECTIVES:Young women in sub-Saharan Africa are at high risk of STIs and unintended pregnancies, yet hormonal contraceptive (HC) use may affect STI risk. We compared the influence of three HCs on the incidence and prevalence of STIs and bacterial vaginosis (BV) in South African adolescents. METHODS:One hundred and th...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2020-054483

    authors: Balle C,Gill K,Konstantinus IN,Jaumdally SZ,Lennard K,Esra R,Happel AU,Barnabas SL,Gamieldien H,Pidwell T,Maseko V,Lesosky M,Myer L,Passmore JS,Bekker LG,Jaspan HB

    更新日期:2020-09-28 00:00:00

  • Increasing the perceived relevance of cervical screening in older women who do not plan to attend screening.

    abstract:OBJECTIVES:Uptake of cervical screening among women aged 50-64 years is declining. Not feeling at risk because of current sexual behaviour is a reason some older women give for not being screened. We hypothesised that explaining the long interval between acquiring human papillomavirus (HPV) and developing cervical canc...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2019-054120

    authors: Marlow LAV,Ryan M,Waller J

    更新日期:2020-02-01 00:00:00

  • Lack of evidence for the involvement of rectal and oral trichomonads in the aetiology of vaginal trichomoniasis in Ghana.

    abstract:OBJECTIVE:To investigate the possible involvement of human trichomonads (Pentatrichomonas hominis and Trichomonas tenax) other than Trichomonas vaginalis in the aetiology of vaginal trichomoniasis. METHODS:Vaginal swabs taken from women attending antenatal clinics were tested for Trichomonas vaginalis by traditional a...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2006.020941

    authors: Adu-Sarkodie Y,Opoku BK,Crucitti T,Weiss HA,Mabey D

    更新日期:2007-04-01 00:00:00

  • Integrated bio-behavioural HIV surveillance surveys among female sex workers in Sudan, 2011-2012.

    abstract:OBJECTIVES:To assess HIV and syphilis prevalence, HIV-related behaviours and testing for HIV in female sex workers (FSW) in Sudan. DESIGN:Bio-behavioural surveys using respondent-driven sampling were carried out among FSW in the capital cities of 14 states in Sudan in 2011-2012. HIV and syphilis testing was done by ra...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sextrans-2013-051097

    authors: Elhadi M,Elbadawi A,Abdelrahman S,Mohammed I,Bozicevic I,Hassan EA,Elmukhtar M,Ahmed S,Abdelraheem MS,Mubarak N,Elsanousi S,Setayesh H

    更新日期:2013-11-01 00:00:00

  • Maintenance of endemicity in urban environments: a hypothesis linking risk, network structure and geography.

    abstract::In industrialised countries, a rapid epidemic phase of HIV transmission has largely given way to more moderated endemic transmission. The dynamics of endemic transmission may differ substantially from those generating epidemic spread. We hypothesise that three elements play an important role in maintaining endemicity ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sti.2006.017269

    authors: Rothenberg R

    更新日期:2007-02-01 00:00:00

  • Health economic methodology illustrated with recent work on Chlamydia screening: the concept of extended dominance.

    abstract::The health economic concepts of dominance were reviewed on the basis of two recently published cost-effectiveness analyses on screening for asymptomatic Chlamydia trachomatis, one in this journal. On the basis of dominance, some strategies may be deleted from the set options from which to choose. The two investigated ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2007.028043

    authors: Postma MJ,de Vries R,Welte R,Edmunds WJ

    更新日期:2008-04-01 00:00:00

  • Role of widows in the heterosexual transmission of HIV in Manicaland, Zimbabwe, 1998-2003.

    abstract:BACKGROUND:AIDS is the main driver of young widowhood in southern Africa. METHODS:The demographic characteristics of widows, their reported risk behaviours and the prevalence of HIV were examined by analysing a longitudinal population-based cohort of men and women aged 15-54 years in Manicaland, eastern Zimbabwe. The ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.2008.033043

    authors: Lopman BA,Nyamukapa C,Hallett TB,Mushati P,Spark-du Preez N,Kurwa F,Wambe M,Gregson S

    更新日期:2009-04-01 00:00:00

  • British HIV Association guidelines for prescribing antiretroviral therapy in pregnancy (1998).

    abstract::The aim of antiretroviral therapy in pregnancy is to deliver a healthy uninfected child to a healthy mother, without prejudicing the future treatment opportunities of the mother. The use of zidovudine monotherapy rapidly became standard practice once it had been shown to reduce by 67% mother to child transmission in w...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sti.75.2.90

    authors: Taylor GP,Lyall EG,Mercey D,Smith R,Chester T,Newell ML,Tudor-Williams G

    更新日期:1999-04-01 00:00:00

  • A cross-sectional survey of attitudes to HIV risk and rapid HIV testing among clients of sex workers in Switzerland.

    abstract:OBJECTIVES:To assess attitudes to HIV risk and acceptability of rapid HIV testing among clients of street-based female sex workers (FSW) in Lausanne, Switzerland, where HIV prevalence in the general population is 0.4%. METHODS:The authors conducted a cross-sectional study in the red light district of Lausanne for five...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2012-050489

    authors: Darling KE,Diserens EA,N'garambe C,Ansermet-Pagot A,Masserey E,Cavassini M,Bodenmann P

    更新日期:2012-10-01 00:00:00

  • Genetic diversity in Trichomonas vaginalis.

    abstract::Recent advances in genetic characterisation of Trichomonas vaginalis isolates show that the extensive clinical variability in trichomoniasis and its disease sequelae are matched by significant genetic diversity in the organism itself, suggesting a connection between the genetic identity of isolates and their clinical ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审

    doi:10.1136/sextrans-2013-051098

    authors: Meade JC,Carlton JM

    更新日期:2013-09-01 00:00:00

  • To pool or not to pool? Screening of Chlamydia trachomatis and Neisseria gonorrhoeae in female sex workers: pooled versus single-site testing.

    abstract:OBJECTIVES:As Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the most commonly reported STIs in Belgium and the majority of women infected are asymptomatic, targeted screening of patients in specified risk groups is indicated. To prevent long-term complications and interrupt transmission, extragenital sa...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2019-054357

    authors: Verougstraete N,Verbeke V,De Cannière AS,Simons C,Padalko E,Coorevits L

    更新日期:2020-09-01 00:00:00

  • HSV-2 incidence by sex over four age periods to age 38 in a birth cohort.

    abstract:OBJECTIVES:To examine herpes simplex virus type 2 (HSV-2) incidence over four periods to age 38 in a birth cohort, and to compare risks for men and women, taking into account sexual behaviour. METHODS:At ages 21, 26, 32 and 38, participants in the Dunedin Multidisciplinary Health and Development Study were invited to ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2013-051235

    authors: Dickson N,Righarts A,van Roode T,Paul C,Taylor J,Cunningham AL

    更新日期:2014-05-01 00:00:00

  • Results from a cross-sectional sexual and reproductive health study among school girls in Tanzania: high prevalence of bacterial vaginosis.

    abstract:OBJECTIVES:Bacterial vaginosis (BV) increases women's susceptibility to sexually transmitted infections (STIs) and HIV and may partly explain the high incidence of STI/HIV among girls and young women in East and southern Africa. The objectives of this study were to investigate the association between BV and sexual debu...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2018-053680

    authors: Francis SC,Holm Hansen C,Irani J,Andreasen A,Baisley K,Jespers V,Crucitti T,Changalucha J,Hayes RJ,Nnko S,Watson-Jones D,Buvé A

    更新日期:2019-05-01 00:00:00