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andrewcraig
August 14th, 2006, 08:33
Sydney Star observer confirms reports of a new STD spread by anal unprotected sex
LGV CONFIRMED IN NSW by Ian Gould

Sydney doctors have confirmed four cases of lymphogranuloma venereum (LGV), a sexually transmissible infection caused by certain strains of chlamydia, NSW Health announced today.

The infection, whose symptoms can include the discharge of blood from the anus, constipation and fever, was first reported among gay men in the Netherlands in 2003 and has since been seen in other European countries and North America.

NSW Health and ACON warned the infection, most commonly transmitted through unprotected anal intercourse between men, was often asymptomatic.

тАЬTypically people develop a small, painless sore where the bacteria enters the body, usually inside the rectum, one to two months after infection,тАЭ NSW Health communicable disease director Dr Jeremy McAnulty said.

тАЬBut sometimes these signs can go unnoticed so it's important to be aware of symptoms and seek antibiotic treatment as soon as possible.

тАЬTypically people develop a small, painless sore where the bacteria enters the body, usually inside the rectum, one to two months after infection."

ACON president Adrian Lovney said using condoms and water-based lubricant during sex and latex gloves during fisting would reduce the likelihood of infection.

тАЬA new glove or condom should be used with every new partner to prevent the spread of infection being passed from one to another,тАЭ Lovney said.
LGV is usually curable with a course of antibiotics, but can cause lasting damage if left untreated.

More information about LGV and other sexually transmissible infections is available at www.whytest.org (http://www.whytest.org).


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Submitted by Jan, from Randwick,on the 2/08/2006 4:29:40 PM

Lymphogranuloma venereum (LGV) is caused by specific biovar types of Chlamydia trachomatis termed L1, L2, and L3. The disease is highly prevalent in parts of Africa, Asia, Central and South America but has been rarely seen in the United States or Western Europe for many decades. In contrast to the classical presentation, an increase in cases of rectal LGV has been reported in various European cities among men who have sex with men (MSM) since 2003. Classically, LGV is a chronic disease that has a variety of acute and late manifestations including genital ulceration, inguinal/femoral lymphadenopathy (buboes) with suppuration (pus discharge). Subsequent lymphatic spread may result in hemorrhagic proctocolitis and scarring, and blockage of the lymphatics resulting in lymphadema. Molecular testing has only recently been introduced to identify these LGV strains within the South Eastern Area Laboratory Services at Prince of Wales Hospital Sydney.