First Case of Urethritis Due toChlamydia trachomatisGenovar L2b

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Abstract
To THEEDITOR—Shortly after the first reported cluster of rectal lymphogranuloma venereum (LGV) due to Chlamydia trachomatis genovar L2 among men who have sex with men (MSM) in The Netherlands [1], similar LGV outbreaks have been reported in several western countries [2, 3]. These outbreaks affected mainly HIV-infected MSM with clinical signs of proctitis. In contrast, classical LGV presentations—genital ulcers with buboes or penile lesions—have been rarely reported [4]. Finally, to the best of our knowledge, no case of urethritis due to C. trachomatis genovar L2b (L2b C. trachomatis urethritis) has ever been reported. The contrast between the high number of rectal LGV cases and the rarity of genital cases is of major concern with regard to LGV transmission. Some authors have suggested that this transmission could occur during specific types of sexual intercourse, such as fisting or sharing sex toys [1, 3].

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