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LGV suspicion — DFSRH MCQ

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HardSTIsLGV suspicionDFSRH

A 33-year-old man who has sex with men has rectal pain, discharge and bleeding. Rectal chlamydia NAAT is positive and symptoms are severe. What is the most appropriate management?

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Correct answer: C — Treat as suspected LGV and seek specialist sexual health input

Severe proctitis with rectal chlamydia in an MSM patient raises concern for LGV and needs extended treatment and specialist management. Urethral testing alone may miss rectal infection. Exposure-site testing and syndrome recognition are key.

Reference: BASHH Guidelines; NICE CKS; UKHSA STI guidance; BNF