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Volume 19, Number 3—March 2013

Dispatch

Lymphogranuloma Venereum in Men Screened for Pharyngeal and Rectal Infection, Germany

Karin HaarComments to Author , Sandra Dudareva-Vizule, Hilmar Wisplinghoff, Fabian Wisplinghoff, Andrea Sailer, Klaus Jansen, Birgit Henrich, and Ulrich Marcus
Author affiliations: Author affiliations: Robert Koch-Institute, Berlin, Germany (K. Haar, S. Dudareva-Vizule, A. Sailer, K. Jansen, U. Marcus); European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden (S. Dudareva-Vizule); University of Cologne, Cologne, Germany (H. Wisplinghoff); Laboratoriumsmedizin Köln–Dres. med. Wisplinghoff and Colleagues, Cologne (H. Wisplinghoff, F. Wisplinghoff); Heinrich-Heine-University, Duesseldorf, Germany (B. Henrich)

Main Article

Table 1

Characteristics of MSM patients with LGV, by HIV status, Germany, 2009–2010*

Characteristics HIV negative, n = 8 HIV positive, n = 11 p value
Median age, y (range)
33 (27–55)
41 (31–46)
0.48
Origin

Germany

7 9 1.0†

Abroad


1 (United Kingdom)
2 (Turkey, Colombia)

Location of LGV

Rectal

7 10 1.0†

Pharyngeal


1
1

Genotype

L2

7 10

L2/L3

1 0

L3


0
1

Symptoms n = 8 n = 10
None 5 3 0.34†

Symptomatic

3 7

Anorectal symptoms‡

1 12

Night sweats


1
0

Median no. male sex partners in past 6 mo (range)

All partners

11 (3–180) 2.5 (1–1,000) 0.25

Unprotected anal sex partners


2 (0–77)
1 (0–80)
1.0
Meeting place for >1 of last 3 partners, % n = 8 n = 8

The Internet

63 63 1.0†

Bar/pub/club

75 25 0.13†

Sauna

0 13 1.0†

Sex party

25 13 1.0†

At friends’ homes

25 0 0.47†

Other


0
13
1.0†
CT test ever, yes/no 2/3 7/1 0.22†

If yes, when

Past 3 mo

1 5

Past 12 mo


1
2

History of CT 2 5 0.32†

If yes, when

Past month§

1 3

Past 12 mo

0 1

>12 mo


0
1

If history of CT in past month, location of current LGV

Rectal§


1
3

If history of CT in past month, site of last examination

Urine

0 2

Rectum

1 1

Pharynx

1 0

Blood

0 2

Do not remember


0
2

Type of last examination n = 8 n = 8

Urine

1 6

Urethral swab

1 0

Rectal swab

5 4

Pharyngeal swab

5 3

Blood

5 6

Do not remember


0
3

HIV test ever, yes/no 7/1 NA

If yes, when

Past 3 mo

2 NA

Past 6 mo

1 NA

Past 12 mo


1
NA

ART, yes/no NA 7/1

*Values are no. patients except as indicated. MSM, men who have sex with men; LGV, lymphogranuloma venereum; CT, Chlamydia trachomatis; NA, not applicable; ART, antiretroviral therapy.
†By Fisher exact test.
‡Anal pain, anal burning/itching, anal inflammation, (bloody) discharge, defecation problems (multiple answers possible).
§Of these patients, 1 HIV negative and 2 HIV positive patients were from 1 proctologist referral practice.

Main Article

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