Volume 19, Number 3—March 2013
Dispatch
Lymphogranuloma Venereum in Men Screened for Pharyngeal and Rectal Infection, Germany
, Sandra Dudareva-Vizule, Hilmar Wisplinghoff, Fabian Wisplinghoff, Andrea Sailer, Klaus Jansen, Birgit Henrich, and Ulrich Marcus
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.