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Urethral Lymphogranuloma Venereum Infections in Men With Anorectal Lymphogranuloma Venereum and Their Partners: The Missing Link in the Current Epidemic?

de Vrieze, Nynke Hesselina Neeltje MD*; van Rooijen, Martijn MSc*; Speksnijder, Arjen Gerard Cornelis Lambertus PhD; de Vries, Henry John C. PhD, MD*‡§

doi: 10.1097/01.OLQ.0000431359.26583.13

Urethral lymphogranuloma venereum (LGV) is not screened routinely. We found that in 341 men having sex with men with anorectal LGV, 7 (2.1%) had concurrent urethral LGV. Among 59 partners, 4 (6.8%) had urethral LGV infections. Urethral LGV is common, probably key in transmission, and missed in current routine LGV screening algorithms.

A study in a sexually transmitted disease clinic in Amsterdam, the Netherlands, found that urethral lymphogranuloma venereum is common in a selected group, probably key in transmission, and missed in current screening algorithms.

From the *STI Outpatient Clinic and †Public Health Service Amsterdam, Public Health Laboratory, Cluster of Infectious Diseases Amsterdam, the Netherlands; ‡Department of Dermatology, Academic Medical Centre, Amsterdam, the Netherlands; and §Centre for Infectious Diseases and Immunology (CINIMA), Academic Medical Centre, Amsterdam, the Netherlands

No conflict of interest exists in this article, and there are no sources of support.

Correspondence: Henry John C. de Vries, PhD, MD, Department of Dermatology, Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD Amsterdam, the Netherlands. E-mail:

Received for publication January 18, 2013, and accepted April 1, 2013.

© Copyright 2013 American Sexually Transmitted Diseases Association