Dr. M.J. Bazos, MD.
Lymphogranuloma venereum is a venereal disease
that involves the lymph glands and genitals. It is contagious. It is found
mostly in subtropical and tropical locations, and generally affects men aged
20–40 years. It is caused by a bacteria called Chlamydia. Symptoms
occur 1–4 weeks after exposure. Complications that can occur are chronic
infection, impotence, and bowel and bladder dysfunction. If treatment is
successful, a cure is usually seen in 6 months; otherwise lymphogranuloma
venereum becomes a chronic
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Signs and symptoms of the
disease occur in the following order. A blister forms on the genitals and
ulcerates but heals quickly. Then the lymph glands in the groin area become
large, red, and tender. Abscesses form and drain thick pus and bloody fluid.
Fever, muscle aches, headache, loss of appetite, nausea, vomiting, and joint
are needed to fight the infection and must be continued for 3 weeks.
Nonprescription pain medications such as Tylenol or Advil can be used for minor
discomfort. No special diet is needed, but good nutrition should be maintained
to promote healing. Surgery may be necessary to drain the affected glands or
remove the abscesses.
• Take medications as
directed by your doctor and until they are
• Rest during the acute
phase of the infection, then resume your normal activities
• Use condoms during
sexual activity with new partners.
Keep follow-up appointments with your
• Notify your sexual contacts
so they can be examined for signs of infection and treated if
• Don’t have
unprotected sexual intercourse.
Don’t touch your eyes without washing your hands first, to prevent
spreading the infection to your
• Don’t skip doses or
stop the antibiotics.
resume sexual activity until completely
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• If a high fever occurs
during the treatment.
• If pain is
severe and is not relieved with nonprescription
• If diarrhea
• If for any reason you
cannot tolerate the medication.