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Reactive Arthritis Associated With Proctitis Due to Chlamydia trachomatis Serovar L2b

Pendle, Stella MSc, MBBCH, DTM&H, FRCPA*; Gowers, Andrew BHB, MBCHB, FRACGP

Sexually Transmitted Diseases: January 2012 - Volume 39 - Issue 1 - p 79-80
doi: 10.1097/OLQ.0b013e318235b256
Case Report

We report the first case of reactive arthritis associated with lymphogranuloma venereum (LGV) proctitis in Australia. Since 2004, LGV proctitis has emerged as an important infection worldwide in men who have sex with men. While reactive arthritis is usually associated with serovars D to K of Chlamydia trachomatis, association with LGV serovars is historically rare. Screening for chlamydial infection should be considered in this group if they present with an acute arthritis otherwise the condition could go undiagnosed. Asymptomatic infections are being increasingly reported in Europe and prolonged treatment is required to ensure a cure.

We report a case of reactive arthritis following an episode of proctitis due to Chlamydia trachomatis lymphogranuloma venereum serovar L2b. There have been only 2 previous case reports both in HIV-infected MSM. This is the first report in Australia.

From the *Department of Microbiology, Pathology NSW, Bella Vista, Sydney, Australia; and †Holdsworth House Medical Practice, Darlinghurst, Sydney, Australia

The authors thank Mala Ratnamohan at the Institute for Clinical Pathology and Medical Research, Westmead Hospital for performing the LGV sequencing.

Correspondence: Stella Pendle, MSc, MBBCH, DTM&H, FRCPA, Clinical Microbiologist, Pathology NSW, Unit 104, 14 Lexington Drive, Bella Vista NSW 2153, Australia. E-mail:

Received for publication June 14, 2011, and accepted September 1, 2011.

© Copyright 2012 American Sexually Transmitted Diseases Association