Lymphogranuloma venereum (LGV)
Canadian Guidelines on Sexually Transmitted Infections - Lymphogranuloma venereum (LGV)
- Extremely rare in Canada - no reported cases in Alberta in the last 20 years.
- Only test for LGV if syphilis and HSV negative and epidemiologic exposure (i.e. appropriate travel history or contact with a traveler).
- In patients with LGV, test for other STIs including HIV, gonorrhea, hepatitis B & C.
- Treat regardless of clinical signs/symptoms all recent (60 days) sexual contacts with:
- Azithromycin 1g PO single dose, or
- Doxycycline 100mg PO bid x 7 days
Usual Pathogens
Chlamydia trachomatis serovars L1, L2, and L3
| Therapy | Dose | Duration |
|---|---|---|
| Doxycycline | 100mg PO bid | 21 days |
Alternative/Pregnancy
| Therapy | Dose | Duration |
|---|---|---|
| Azithromycin | 1g PO once weekly | 3 weeks |