Editing Sexually Transmitted Infections (section)

===== Lymphogranuloma venereum =====
* '''Caused by chlamydia'''
* '''A self-limited genital ulcer or papule is sometimes present at the site of infection but usually has disappeared by the time of presentation. The secondary stage is the most common presentation in heterosexuals and is marked by tender inguinal and/or femoral lymphadenopathy, typically unilateral'''
** Inguinal lymphadenopathy are more common in males because the lymph drainage of the cervix and vagina are to the retroperitoneal rather than the inguinal lymph nodes
* Lymphogranuloma venereum proctocolitis can mimic inflammatory bowel disease, and complications include chronic colorectal fistulas and strictures
* '''Diagnosis and Evaluation'''
** '''Labs'''
*** '''Swab of lesions or aspiration of buboes from genitals or lymph node''', sent for culture, direct immunofluorescence, '''or nucleic acid detection'''
* '''Management'''
** '''Doxycycline''' 100 mg orally BID x 21 days