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- W2006074073 abstract "Lymphogranuloma venereum is a systemic infectious disease caused by immunotypes L1, L2, or L3 of Chlamydia trachomatis. Usually, a primary transitory lesion is followed by an acute, suppurative regional lymphadenitis with constitutional symptoms. Sometimes, the disease presents as proctitis. Rectal strictures may develop from months to 20 years after the initial infection and may do so in the absence of a history of primary symptoms.’ The rectal type of the disease was first identified as being caused by lymphogranuloma venereum by Bensade and Lambling of Paris in 1936, who described 156 cases.2 Many large series were published in the following three decades.’” In the eighties, several cases of proctitis in male homosexuals were reported to be due to lymphogranuloma ~enereum.~ Lymphogranuloma venereum is not frequently encountered in industrialized countries and is considered an imported disease.s Since efficacious chemotherapy has become available, its late complications represent an extremely rare event. We report on a case of a rectal tubular stricture as a late manifestation of a lymphogranuloma venereum. A 36-year-old man had been complaining of progressive constipation and tenesmus for 2 years. In the last months he noted intermittent bloody-mucus discharges and passage of “pencil” stools. He had to take laxatives, and he spent 2 to 4 hours on daily defecation. Proctoscopy showed a circular stenosis situated 3 crn proximal from the anus with a lumen of 1 cm in diameter, which could not be dilated. A rectal stricture 6-cm in length and a sign suggesting a fistula" @default.
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- W2006074073 date "1994-12-01" @default.
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- W2006074073 title "Rectal Stricture due to Lymphogranuloma Venereum Manifesting Four Years After Temporary Residence in Brazil" @default.
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- W2006074073 doi "https://doi.org/10.1111/j.1708-8305.1994.tb00604.x" @default.
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