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Hæmoragisk proktokolitis som primær manifestation af lymphogranuloma venereum hos en hiv-smittet mand

Forfattere
Andreas Brandt Gormsen1, Jon Erik Fraes Diernæs1, Jørgen Skov Jensen2 & Uffe Koppelhus1 1) Afdeling for Hud- og Kønssygdomme, Aarhus Universitetshospital 2) Afdeling for Bakterier, Parasitter og Svampe, Statens Serum Institut Ugeskr Læger 2018;180:V11170849
Reference: 
Ugeskr Læger 2018;180:V11170849
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Sidetal: 
2-3
Haemorrhagic proctocolitis as primary manifestation of lymphogranuloma venereum in an HIV-positive male
This is a case report of lymphogranuloma venereum (LGV) manifesting as haemorrhagic proctocolitis in a homosexual HIV-positive male. The primary symptom was a rectal abscess, which was initially surgically treated and subsequently insufficiently treated with single-dose tablet azithromycin. The patient’s symptoms were successfully treated after a 21-day doxycycline regime. LGV is a se xually transmitted infection with a rising incidence among persons with risk behaviour. This case report underlines the importance, that all positive rectal screenings for Chlamydia trachomatis should be routinely serotyped.

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