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.
