Buboes Without Ulcers

This usually occurs in persons with lymphogranuloma venereum (LGV) which is caused by the L-types of Chlamydia trachomatis. The main effect of the infection is on the lymphatics and patients may present with penile and vulval lymphoedema together with inguinal buboes. Rectal LGV infection can also present with anal discharge and may be confused with inflammatory bowel disease. A small transient genital ulcer, which may heal on its own, may precede the swelling and buboes. The bubo is typically m