Abstract
A patient with proctitis and inguinal buboes diagnosed with lymphogranuloma venereum (LGV) was treated with doxycycline 21 days, azithromycin 20 days and moxifloxacin for a further 12 days because of progressive worsening of inguinal symptoms. Despite extensive antibiotic treatment, the inguinal LGV lesions persisted; however, the patient recovered spontaneously after three months.
Keywords:
Chlamydia trachomatis; LGV; Sexually transmitted infection; bubo; lymphogranuloma venereum; treatment failure.
MeSH terms
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Anti-Bacterial Agents / therapeutic use*
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Aza Compounds / therapeutic use
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Azithromycin / therapeutic use
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Chlamydia trachomatis / genetics
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Chlamydia trachomatis / isolation & purification*
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Doxycycline / therapeutic use
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Fluoroquinolones
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Homosexuality, Male
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Humans
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Lymphogranuloma Venereum / diagnosis*
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Lymphogranuloma Venereum / drug therapy*
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Lymphogranuloma Venereum / microbiology
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Male
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Middle Aged
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Moxifloxacin
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Multilocus Sequence Typing
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Proctitis / diagnosis*
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Proctitis / drug therapy
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Proctitis / microbiology
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Quinolines / therapeutic use
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Real-Time Polymerase Chain Reaction
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Treatment Failure
Substances
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Anti-Bacterial Agents
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Aza Compounds
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Fluoroquinolones
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Quinolines
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Azithromycin
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Doxycycline
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Moxifloxacin