{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:42:00Z","timestamp":1788586920380,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T00:00:00Z","timestamp":1611619200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Objective: The incidence of lymphogranuloma venereum (LGV) in Europe is increasing. However, diagnosing LGV in a hospital setting is rare. We analysed the diagnostic process and clinical characteristics of patients with LGV in a hospital setting. Design and setting: A retrospective observational study conducted in a teaching hospital in Amsterdam, The Netherlands. All adult patients with LGV between November 2010 and February 2019 were included. Clinical data were retrieved from electronic patient records. Results: 40 patients were included. 90% of patients were men who have sex with men (MSM) and 62,5% were HIV positive. The most common presenting symptoms were rectal bleeding (47,5%), anal symptoms (30%) and change in bowel habits (25%). The mean time from first consultation to diagnosis was 28 days (range: 0 to 332, median 16,5 days). Diagnostic delay was increased by clinical presentation (ie anogenital syndrome) and the number of specialists involved. Diagnostic procedures not leading to the diagnosis were performed in 98% of cases. Conclusion: To prevent late complications, unnecessary diagnostic procedures and further transmission, early testing for LGV should be incorporated in the work-up of every patient reporting MSM-activity presenting with anorectal symptoms or inguinal lymphadenopathy.<\/jats:p>","DOI":"10.1177\/0956462420980641","type":"journal-article","created":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T05:40:59Z","timestamp":1611639659000},"page":"517-522","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Delayed diagnosis of lymphogranuloma venereum in a hospital setting \u2013 a retrospective observational study"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3180-2818","authenticated-orcid":false,"given":"Jacob W","family":"Bosma","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, OLVG, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne Jon","family":"van Tienhoven","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, OLVG, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harold FJ","family":"Thiesbrummel","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, OLVG Laboratoria BV, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"de Vries","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Amsterdam Institute for Infection and Immunity (AI&II), Location Academic Medical Centre, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands"},{"name":"Department of Infectious Diseases, Public Health Service, STI Outpatient Clinic, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Veenstra","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, OLVG, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,1,26]]},"reference":[{"key":"bibr1-0956462420980641","doi-asserted-by":"publisher","DOI":"10.1586\/14787210.2014.901169"},{"key":"bibr2-0956462420980641","volume-title":"ECDC. 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