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==Symptoms==
==Symptoms&History==
Symptoms of LGV can begin a few days to a month after coming in contact with the bacteria. Symptoms include:


* Small painless [[ulcer]] on the male genitalia or in the female genital tract
*The most common clinical manifestation of LGV among heterosexuals is tender inguinal and/or femoral [[lymphadenopathy]] that is typically unilateral.
* Swelling and redness of the skin in the [[groin]] area
* A self-limited [[genital ulcer]] or [[papule]] sometimes occurs at the site of inoculation. However, by the time patients seek care, the lesions have often disappeared.
* Swollen groin [[lymph node]]s on one or both sides; it may also affect lymph nodes around the [[rectum]] in those who have anal intercourse
*Rectal exposure in women or MSM can result in [[proctocolitis]], including mucoid and/or hemorrhagic rectal discharge, anal pain, [[constipation]], fever, and/or [[tenesmus]]<ref name="Workowski-2010">{{Cite journal  | last1 = Workowski | first1 = KA. | last2 = Berman | first2 = S. | last3 = Workowski | first3 = KA. | last4 = Bauer | first4 = H. | last5 = Bachman | first5 = L. | last6 = Burstein | first6 = G. | last7 = Eckert | first7 = L. | last8 = Geisler | first8 = WM. | last9 = Ghanem | first9 = K. | title = Sexually transmitted diseases treatment guidelines, 2010. | journal = MMWR Recomm Rep | volume = 59 | issue = RR-12 | pages = 1-110 | month = Dec | year = 2010 | doi =  | PMID = 21160459 }}</ref>
* Drainage through the skin from lymph nodes in groin
* Blood or [[pus]] from the rectum (blood in the stools)
* Painful [[bowel]] movements ([[tenesmus]])
* Swelling of the [[labia]]
 
The infection can cause [[diarrhea]] and lower abdominal pain. Women may develop abnormal connections called [[fistula]]s between the vagina and rectum.


==References==
==References==

Revision as of 22:10, 13 February 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Symptoms&History

  • The most common clinical manifestation of LGV among heterosexuals is tender inguinal and/or femoral lymphadenopathy that is typically unilateral.
  • A self-limited genital ulcer or papule sometimes occurs at the site of inoculation. However, by the time patients seek care, the lesions have often disappeared.
  • Rectal exposure in women or MSM can result in proctocolitis, including mucoid and/or hemorrhagic rectal discharge, anal pain, constipation, fever, and/or tenesmus[1]

References

  1. Workowski, KA.; Berman, S.; Workowski, KA.; Bauer, H.; Bachman, L.; Burstein, G.; Eckert, L.; Geisler, WM.; Ghanem, K. (2010). "Sexually transmitted diseases treatment guidelines, 2010". MMWR Recomm Rep. 59 (RR-12): 1–110. PMID 21160459. Unknown parameter |month= ignored (help)


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