Symptoms are typically more severe than with rectal chlamydia and may include proctitis, rectal bleeding, fever, tiredness and weight loss. Most of the cases have involved rectal infection. They believe their findings are of public health significance, showing the importance of addressing barriers to LGV testing in order to optimise surveillance, diagnosis, treatment and prevention.Įpidemics of LGV among gay and bisexual men have been reported in Europe, North America and Canada. “Our data suggest considerable under-diagnosis of LGV may be occurring across many EU countries given the number of previously unidentified LGV cases detected and the poor availability of LGV diagnostics,” comment Dr Cole and colleagues. It can cause rectal pain, diarrhoea, bleeding and discharge, as well as the continuous feeling that you need to go to the toilet. Inflammation of the lining of the rectum.