Chronic epididymitis due to Chlamydia trachomatis LGV-L2 in an HIV-negative heterosexual patient: a case report

PAIRA, DANIELA ANDREA; OLMEDO, JOSÉ JAVIER; OLIVERA, CAROLINA; TISSERA, ANDREA DANIELA; MOLINA, ROSA ISABEL; RIVERO, VIRGINIA ELENA; SAKA, HÉCTOR ALEX; MOTRICH, RUBÉN DARÍO

Frontiers in Public Health

Frontiers Media

Año: 2023 vol. 11

hlamydia trachomatis is an obligate intracellular pathogen and the leadingbacterial cause of sexually transmitted infections worldwide. Chlamydiatrachomatis genovars L1–L3 are responsible for lymphogranuloma venereum(LGV), an invasive sexually transmitted disease endemic in tropical and subtropicalregions of Africa, South America, the Caribbean, India and South East Asia. Thetypical signs and symptoms of C. trachomatis LGV urogenital infections in meninclude herpetiform ulcers, inguinal buboes, and/or lymphadenopathies. Since2003, endemic cases of proctitis and proctocolitis caused by C. trachomatisLGV emerged in Europe, mainly in HIV-positive men who have sex with men(MSM). Scarce data have been reported about unusual clinical presentations of C.trachomatis LGV urogenital infections. Herein, we report a case of a 36-year-oldheterosexual, HIV-negative male declaring he did not have sex with men ortrans women, who presented to the Urology and Andrology outpatient clinic ofa healthcare