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Chronic Chagas Management — SCE Infectious Diseases MCQ

Instant feedback + full explanation. One question, done properly.

HardTropical & Imported InfectionsChronic Chagas ManagementSCE Infectious Diseases

A man with HIV has severe proctitis, tenesmus and bloody discharge. Rectal chlamydia NAAT is positive and LGV genotyping confirms an L2 strain. What treatment and partner window are appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Doxycycline 100 mg twice daily for 21 days; assess and presumptively treat sexual contacts from the preceding 4 weeks

Explanation lettering: C = shown as A · E = shown as B · A = shown as C · B = shown as E

A is correct. BASHH recommends doxycycline 100 mg twice daily for 21 days for symptomatic LGV and assessment, testing and presumptive 21-day treatment of contacts from the four weeks before symptom onset; a three-month window applies when the index infection is asymptomatic. B uses the uncomplicated non-LGV duration and the wrong contact window. C is an alternative schedule only in selected circumstances and makes treatment contingent on genotype. D treats possible gonorrhoea and shortens LGV therapy. E shortens treatment and applies the asymptomatic contact window to a symptomatic case. Follow-up continues until symptoms resolve.

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