A couplet: a case of anal ulceration and another of inguinal swelling

Marcus Y Chen, Timothy R H Read, David E Leslie and Melanie Bissessor
Med J Aust 2011; 195 (1): . || doi: 10.5694/j.1326-5377.2011.tb03191.x
Published online: 4 July 2011

In recent years, lymphogranuloma venereum, which is caused by C. trachomatis serotypes L1–L3, has emerged as a problem among men who have sex with men (MSM). Cases of LGV have been reported among MSM in the United States, United Kingdom, Europe and Australia, and have been overrepresented among HIV-positive MSM.1,2 In contrast to infections seen in developing areas where LGV remains endemic, the more recent reports among MSM in Western countries have been characterised by a predominance of proctitis cases, with fewer genital or inguinal presentations.1-3 Furthermore, nearly all recent cases have involved a clonal strain of the C. trachomatis L2b serovar.4

  • Marcus Y Chen1,2
  • Timothy R H Read1,2
  • David E Leslie3
  • Melanie Bissessor2

  • 1 Melbourne School of Population Health, University of Melbourne, Melbourne, VIC.
  • 2 Melbourne Sexual Health Centre, Alfred Hospital, Melbourne, VIC.
  • 3 Victorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital, Melbourne, VIC.



We thank staff at the Microbiological Diagnostic Unit, University of Melbourne, for their assistance in LGV genotyping.

Competing interests:

None identified.


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.