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Lymphogranuloma Venereum — SCE Infectious Diseases MCQ

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HardSTIsLymphogranuloma VenereumSCE Infectious Diseases

A man with proctitis and a fluctuant inguinal bubo has C. trachomatis L2 confirmed by genotyping. Alongside doxycycline 100 mg twice daily for 21 days, how should the bubo be managed?

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Correct answer: B — Needle aspiration through healthy adjacent skin, repeated if necessary

BASHH recommends aspiration of a fluctuant LGV bubo through healthy adjacent skin, which may need repeating. Incision through involved skin risks a chronic sinus. Doxycycline 100 mg twice daily for 21 days treats LGV and partner notification and testing are also required.

Reference: BASHH LGV guideline: https://www.bashh.org/resources/26/guidelines_lgv_2013