ABSTRACT
It is difficult to assess the epidemiology with the available data; nonetheless, it is worthwhile to take stock of the information from 2003 to 2008. It appears that the incidence of LGV has increased in different countries in Europe, with the largest numbers reported in the United Kingdom, France, The Netherlands, and Germany. Italy, Austria, Denmark, Portugal, and Spain have also witnessed an increase in the incidence of LGV since 2006. The profile of infected individuals, MSM with proctitis over 25 years of age and predominantly coinfected with human immunodeficiency virus (HIV), has remained largely unchanged throughout the epidemic5. In the United Kingdom, where over 800 cases were detected, 13 presented with unusual clinical features: five cases of urethral LGV, three cases of inguinal buboes, one case of a solitary penile ulcer, and another case with a penile ulcer and bubonulus6.
