LGV Flashcards
1
Q
LGV serotypes
A
L1-L3
Commonly LG2
2
Q
LGV describe clinical course
A
Primary lesion - 3-30 days coronal sulcus, pos wall vagina or vulva
Commonly proctitis or asymp
Secondary phase swollen lymph nodes or buboes groove sign 10-30 days post primary. Can get fever or arthritis
Tertiary - most don’t get but chronic inflam of anogenital tissues - proctitis, strictures
3
Q
Classic LGV
A
Proctitis, lymphadenopathy and hx of ulcer in MSM
4
Q
Testing for LGV
A
NAAT
Really time PCR to confirm
CT serology
5
Q
Rx of LGV
A
Doxy 3/52
2nd line erythromycin 500mg qds dor 21 days
Azith 1g weekly
6
Q
Rx of LGV I’m pregnant women or tetracycline allergy
A
Erythromycin or extended azith regime (3/52)
7
Q
PN for LGV
A
4 weeks pre onset of Sx or 3/12 if asymp pick up
Partner 21 days Rx also
