Delayed diagnosis of lymphogranuloma venereum in a hospital setting – a retrospective observational study
| Autor: | Henry J. C. de Vries, Arne Jon van Tienhoven, Jan Veenstra, Jacob W. Bosma, Harold F. J. Thiesbrummel |
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| Přispěvatelé: | Dermatology, AII - Infectious diseases, APH - Methodology |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Delayed Diagnosis Chlamydia trachomatis Dermatology proctitis medicine.disease_cause urologic and male genital diseases Men who have sex with men Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine medicine Humans Pharmacology (medical) 030212 general & internal medicine sexually transmitted infection Homosexuality Male Proctitis 0303 health sciences 030306 microbiology business.industry Transmission (medicine) Incidence (epidemiology) Lymphogranuloma venereum Public Health Environmental and Occupational Health HIV Retrospective cohort study Inguinal lymphadenopathy medicine.disease Hospitals female genital diseases and pregnancy complications Infectious Diseases Female medicine.symptom business |
| Zdroj: | International journal of STD & AIDS, 32(6), 517-522. SAGE Publications Ltd |
| ISSN: | 0956-4624 |
| DOI: | 10.1177/0956462420980641 |
| Popis: | Objective: The incidence of lymphogranuloma venereum (LGV) in Europe is increasing. However, diagnosing LGV in a hospital setting is rare. We analysed the diagnostic process and clinical characteristics of patients with LGV in a hospital setting. Design and setting: A retrospective observational study conducted in a teaching hospital in Amsterdam, The Netherlands. All adult patients with LGV between November 2010 and February 2019 were included. Clinical data were retrieved from electronic patient records. Results: 40 patients were included. 90% of patients were men who have sex with men (MSM) and 62,5% were HIV positive. The most common presenting symptoms were rectal bleeding (47,5%), anal symptoms (30%) and change in bowel habits (25%). The mean time from first consultation to diagnosis was 28 days (range: 0 to 332, median 16,5 days). Diagnostic delay was increased by clinical presentation (ie anogenital syndrome) and the number of specialists involved. Diagnostic procedures not leading to the diagnosis were performed in 98% of cases. Conclusion: To prevent late complications, unnecessary diagnostic procedures and further transmission, early testing for LGV should be incorporated in the work-up of every patient reporting MSM-activity presenting with anorectal symptoms or inguinal lymphadenopathy. |
| Databáze: | OpenAIRE |
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