Lymphogranuloma venereum (or Nicolas Favre disease)

 

Chronic disease due to Chlamydia trachomatis, especially affecting humans (often latent in women).

Clinical signs:

– Small canker often absent.

– Ganglion inguinal fluctuating and painful, fistula possible but rare.

Laboratory:

Diagnosis difficult.

Treatment:

Treatment of lymphogranuloma venereum

doxycycline PO (cons-indicated in pregnant or lactating women): 200 mg / day in 2 divided doses for 14 days or, in pregnant or breastfeeding:

erythromycin PO: 2 g / day in 2 or 4 doses for 14 days

The treatment can last up to 21 days.

Treatment of genital ulcers

It is clinically difficult to distinguish genital ulcers. Therefore, even if the ulcer seems characteristic of lymphogranuloma venereum, follow the care protocol “GUD”.

Treatment of inguinal lymph nodes

Puncture the fluctuating ganglion (suction syringe through intact skin).

Never incise and drain lymph nodes.

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