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Lymphogranuloma Venereum

An Increasingly Common Anorectal Infection Among Men Who Have Sex With Men Attending New York City Sexual Health Clinics

Pathela, Preeti, DrPH*; Jamison, Kelly, MPH*; Kornblum, John, PhD; Quinlan, Tammy, BS; Halse, Tanya A., BS; Schillinger, Julia A., MD, MSc

doi: 10.1097/OLQ.0000000000000921

Using Chlamydia trachomatis anorectal specimens routinely tested for lymphogranuloma venereum (LGV) (2008–2011) and samples of archived specimens tested for LGV (2012–2015), we observed increased LGV positivity among men who have sex with men attending NYC Sexual Health Clinics. Using clinical data, we determined predictors of anorectal LGV that may guide clinical management.

A surveillance study of anorectal lymphogranuloma venereum among men attending Sexual Health Clinics found an increase in its positivity: from 8.7% (2008 to 2011) to 16.6% (2012 to 2015).

From the *New York City Department of Health and Mental Hygiene, Bureau of Sexually Transmitted Infections, Queens, NY,

New York City Department of Health and Mental Hygiene, Bureau of Public Health Laboratory, New York, NY. (retired);

Wadsworth Center, New York State Department of Health, Albany, NY; and

§Centers for Disease Control and Prevention, Division of Sexually Transmitted Disease Prevention, Atlanta, GA

Acknowledgments: The authors thank Sharon Josephs at the New York City Public Health Laboratory for assisting with retrievals and shipping of specimens for this project, and Kimberlee Musser, PhD, whose laboratory at Wadsworth Center provided diagnostic reference testing for the detection of LGV.

Conflicts of Interest and Sources of Funding: None declared.

Parts of the data in this article were presented at the 2016 STD Prevention Conference; September 20–23, 2016; Atlanta, GA. Abstract 6A1.

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Correspondence: Preeti Pathela, DrPH, MPH, New York City Department of Health and Mental Hygiene, Gotham Center, 42-09 28th St, Queens, NY 11101-4132. E-mail:

Received for publication July 27, 2018, and accepted September 23, 2018.

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