- Genital region, proctocolitis
- Caused by chlamydia trachomatis, serovar L
- Spread by sexual contact
- Increasingly common in US amongst MSM
- Incubation 1-3 weeks
- Painless papule or ulcer on penis/vagina/rectal area, then painful inguinal adenopathy
- Proctocolitis: tenesmus, diarrhea, blood per rectum
- Can have f, c, fatigue, other systemic sx
- Initially painless papule, which might be missed; then painful inguinal adenopathy
- Blood per rectum (rectal/sigmoid ulcers on endoscopy), rectal discharge
- PCR testing of urine or rectal swab/discharge
- LGV serologies