Abstract
We present four cases of proctitis in HIV-infected men having sex with men (MSM) living in the Czech Republic. The causative agent in all cases was the lymphogranuloma venereum (LGV) biovar of Chlamydia trachomatis. The spread of proctitis caused by C. trachomatis serovars L1–3 among MSM has been observed in several European countries, the United States and Canada since 2003. To our knowledge, no LGV cases in eastern Europe have been published to date.
Highlights
Lymphogranuloma venereum (LGV) is a sexually transmitted disease (STD) caused by Chlamydia trachomatis serovars L1–3 [1]
The Czech cases of LGV infection were very similar to the cases reported both in North America and western Europe [4]
The clinical symptoms were very similar and their intensity corresponded to what is typical for LGV proctitis [11]
Summary
First detection of Chlamydia trachomatis LGV biovar in the Czech Republic, 2010–2011. We present four cases of proctitis in HIV-infected men having sex with men (MSM) living in the Czech Republic. Between February 2010 and February 2011, four men who have sex with men (MSM) infected with human immunodeficiency virus (HIV), who were under regular observation for HIV infection at the Bulovka University Hospital AIDS Center in Prague, Czech Republic, developed symptoms of acute proctitis. None of the patients had urethritis, fever, or other systemic symptoms (see Table). To our knowledge, these cases are the first LGV infections detected in the region
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