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Diagnosis & Management:

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Lymphogranuloma Venereum

Diagnosis

The disease is rare in South Australia and diagnosis is difficult. A complement fixation test is sensitive but cross reacts with other chlamydial infections and titres below 1:64 should be interpreted with caution.  Chlamydia PCR may be positive from lesions.  The diagnosis should only be made after consultation with a sexual health physician.

Treatment

Standard therapy

doxycycine 100 mg orally 12 hourly for 21 days (ADEC D)

For pregnant or lactating women

erythromycin 500 mg orally 6 hourly for 21 days (ADEC A).
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Last updated: 07 June 2007
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South Australia Central

Sexually Transmitted Diseases Services
Internal Medicine Service
Royal Adelaide Hospital
First Floor, 275 North Terrace
Adelaide  SA  5000
Australia

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