Cause |
Bacteria - Certain strains of
Chlamydia trachomatis. |
Distribution |
Countries with warm, humid climates
for example, Africa, Asia, South America and the West Indies. |
Transmission |
Sexual |
Incubation |
1 - 4 weeks to the development
of buboes (swollen lymph glands) |
Symptoms |
The first sign is a small ulcer
which is usually missed because it is painless and heals very
quickly. Most patients are alerted by the finding of painful
lymph glands (buboes) in the groin. There may be fever,
malaise (feeling of illness) and body aches. |
Diagnosis |
- Physical examination
- Blood test - LGV-CFT
- Culture of pus from the bubo
|
Treatment |
- Tetracycline by mouth.
- Drainage of buboes if they become
filled with pus.
- Surgery for scars and sinuses
(openings leading into the skin).
|
Complications |
- The buboes of LGV may rupture
through several openings (sinuses) and pus may continue to be
discharged from these sinuses for several weeks before healing
occurs.
- Severe scarring may follow and
this may obstruct the flow of lymph (a tissue fluid) from the
region. Genital elephantiasis - swelling and distortion of the
genitals may result from it.
- Rectal infection which may occur
in male homosexuals may result in scarring and narrowing of the
rectum.
|