Lymphogranuloma Venerum
Most common diagnostic test in LGV is –
| A |
Fluorescent Antibody |
|
| B |
Complement fixation test |
|
| C |
Cell culture |
|
| D |
Frei’s test |
Most common diagnostic test in LGV is –
| A |
Fluorescent Antibody |
|
| B |
Complement fixation test |
|
| C |
Cell culture |
|
| D |
Frei’s test |
Ans. is ‘c’ i.e., Cell culture
. “Cell culture is the preferred mode of isolation now. Many cell lines are susceptible but those commonly used are McCoy and HeLa cells”.
Lymphogranuloma venerum is caused by –
| A |
Chlamydia trachomatis |
|
| B |
Calymmatobacter granulomatis |
|
| C |
Haemophilus ducreyii |
|
| D |
Treponema pallidum |
Lymphogranuloma venerum is caused by –
| A |
Chlamydia trachomatis |
|
| B |
Calymmatobacter granulomatis |
|
| C |
Haemophilus ducreyii |
|
| D |
Treponema pallidum |
Ans. is ‘a’ i.e., Chlamydia trachomatis
LGV is caused by
| A |
Chalamydia trachomatis |
|
| B |
Haemophylus ducrei |
|
| C |
HTLV type II |
|
| D |
Donovanosis granulomatis |
LGV is caused by
| A |
Chalamydia trachomatis |
|
| B |
Haemophylus ducrei |
|
| C |
HTLV type II |
|
| D |
Donovanosis granulomatis |
A i.e. Chlamydia trachomatis
Genital ulcer is seen in A/E:
| A |
Granuloma inguinale |
|
| B |
Syphillis |
|
| C |
LGV |
|
| D |
Donovanosis |
Genital ulcer is seen in A/E:
| A |
Granuloma inguinale |
|
| B |
Syphillis |
|
| C |
LGV |
|
| D |
Donovanosis |
C i.e. LGV
Bubos with multiple sinuses discharging into inguinal lymph nodes are seen in:
| A |
Chancroid |
|
| B |
Granuloma Inguinale |
|
| C |
LGV |
|
| D |
Syphilis |
Bubos with multiple sinuses discharging into inguinal lymph nodes are seen in:
| A |
Chancroid |
|
| B |
Granuloma Inguinale |
|
| C |
LGV |
|
| D |
Syphilis |
C i.e. LGV
Sign of Groove is found in –
| A |
Chancroid |
|
| B |
Granuloma inguinale |
|
| C |
LGV |
|
| D |
Syphilis |
Sign of Groove is found in –
| A |
Chancroid |
|
| B |
Granuloma inguinale |
|
| C |
LGV |
|
| D |
Syphilis |
C i.e. LGV
Esthiomine is seen in-
| A |
Chancroid |
|
| B |
Syphilis |
|
| C |
LGV |
|
| D |
Gonorrhoea |
Esthiomine is seen in-
| A |
Chancroid |
|
| B |
Syphilis |
|
| C |
LGV |
|
| D |
Gonorrhoea |
C i.e. LGV
Frie test is done in
| A |
Donovanosis |
|
| B |
LGV |
|
| C |
Syphillis |
|
| D |
Leprosy |
Frie test is done in
| A |
Donovanosis |
|
| B |
LGV |
|
| C |
Syphillis |
|
| D |
Leprosy |
B i.e. LGV
DOC for LGV
| A |
Doxycycline |
|
| B |
Ampicillin |
|
| C |
Erythromycin |
|
| D |
Ceftriaxone |
DOC for LGV
| A |
Doxycycline |
|
| B |
Ampicillin |
|
| C |
Erythromycin |
|
| D |
Ceftriaxone |
A i.e. Doxycycline
Multiple fistula in ano commonly occurs in ‑
| A |
Tuberculosis |
|
| B |
Gonococcal protocolitis |
|
| C |
LGV |
|
| D |
a and c |
Multiple fistula in ano commonly occurs in ‑
| A |
Tuberculosis |
|
| B |
Gonococcal protocolitis |
|
| C |
LGV |
|
| D |
a and c |
Ans. is ‘a’ i.e. Tuberculosis & ‘c’ i.e. LGV
Drug of choice for lymphogranuloma venerum:
March 2005
| A |
Tetracycline |
|
| B |
Chloramphenicol |
|
| C |
Erythromycin |
|
| D |
Ampicillin |
Drug of choice for lymphogranuloma venerum:
March 2005
| A |
Tetracycline |
|
| B |
Chloramphenicol |
|
| C |
Erythromycin |
|
| D |
Ampicillin |
Ans. A: Tetracycline
Lymphogranuloma venereum (LGV) is a sexually transmitted infection caused by unique serovars of Chlamydia trachomatis (L1, L2, L3) that are unlike those that typically cause urethritis, cervicitis, and proctitis (A-K).
The hallmark of LGV is unilateral or bilateral tender lymphadenopathy that dramatically evolves 2 to 6 weeks after the primary lesion.
The involved lymph nodes increase rapidly in size, and pain and erythema are common. If adjacent to one another, several involved lymph nodes may coalesce. The central areas of such lymph nodes can then undergo necrosis. Fluctuant and suppurative lymph nodes then develop, causing the classic ‘bubo’ of LGV.
The bubo may then rupture and drain purulent material, which is associated with relief from symptoms. The ‘groove sign’ characteristic of LGV is seen if both the inguinal and the femoral nodes are involved.
Tetracycline is the first choice drugs for LGV.
Apart from LGV, tetracyclines are drug of choice for:
- STDs-Chlamydial non-specific urethritis/endocervicitis, granuloma inguinale
- Atypical pneumonia
- Cholera
- Brucellosis
- Plague
- Relapsing fever
- Rickettsial infections-typhus, rocky mountain spotted fever, Q fever etc.
LGV (lymphogranuloma venerum) is caused by ‑
| A |
Treponema pallidum |
|
| B |
Chlamydia trachomatis |
|
| C |
Calymmatobacter granulomatosis |
|
| D |
H Ducreyi |
LGV (lymphogranuloma venerum) is caused by ‑
| A |
Treponema pallidum |
|
| B |
Chlamydia trachomatis |
|
| C |
Calymmatobacter granulomatosis |
|
| D |
H Ducreyi |
Ans. is ‘b’ i.e., Chlamydia trachomatis
Groove sign of greenbalt is seen in ‑
| A |
LGV |
|
| B |
Donovanosis |
|
| C |
Chancroid |
|
| D |
Genital Herpes |
Groove sign of greenbalt is seen in ‑
| A |
LGV |
|
| B |
Donovanosis |
|
| C |
Chancroid |
|
| D |
Genital Herpes |
Ans. is ‘a’ i.e., LGV
- Groove sign of Greenblatt’ is pathognomonic of LGV when inguinal lymph nodes are enlarged, they are separated by Poupart’s ligment, producing a groove.



