Do not let the name fool you because the Climatic Bubo is something that you do not want. It is a venereal disease, a fairly new one for the United States. Climatic Bubo stands for Lymphogranuloma Venereum (LGV). The Climatic Bubo was first reported as a new STD in New York in 2005 and is believed to have made its way to the US by travel to an endemic area where the person was sexually active with an infected person. Climatic Bubo is more common in Africa, Central America, South America, the Caribbean and Australia; however there has been a significant increase of infections in Europe and the United States.
How do people get Climatic Bubo?
Through sexual contact including anal sex, but if you come in skin to skin contact with an infected person with lesions, you can become infected also. If you have oral sex you can be infected orally and surrounding areas.
The cause of the Climatic Bubo
The disease Lymphogranuloma Venereum is a chronic infection of the lymph glands in the genital area which is caused by 3 different strains of the common STD Chlamydia. The infection is not caused by genital Chlamydia itself, but by the Chlamydia Trachomatis bacteria. The strains of Chlamydia are L1, L2, and L3, the strain L2 is the primary cause of Climatic Bubo.
People at risk for Climatic Bubo
Those who have unprotected sex with multiple partners, especially prostitutes
People who live in or visit tropical or developing countries
Gay men- Lymphogranuloma Venereum is more common in men than women and there have been an outbreak in the number of gay men with this disease.
Women who have anal intercourse
AIDS patients-more people infected with AIDS are becoming infected with Climatic Bubo also
The symptoms of the Climatic Bubo
There are numerous symptoms of this STD and some are extremely painful if not diagnosed or treated immediately. Symptoms appear between 3 to 21 days of contact and in stages. Symptoms include:
Swelling and redness in groin or vagina, groin pain, Mass in groin, Bubo-like lesions of groin, Groin scarring due to ulcerating lesions, rashes and ulcers on penis or vagina, Anorectal pain or Anus Pain, especially when having a bowel movement, Bloody and mucopurulent rectal discharge, vaginal discharge, vaginal ulcers, edema in lower extremities, chills, uncontrollable shaking, teeth chattering, unilateral lymphadenopathy, drainage through the skin from lymph nodes in groin
In 3 to 12 days a small painless genital ulcer appears at the contact site. This stage can go unnoticed, especially in women since the initial ulceration is inside the vagina. The first ulcer will go away in several days which also cause a person to not know they are infected with Climatic Bubo.
Begins 10 to 30 after infection and can last up to 6 months. The lymph nodes are now infected into the lymphatic passage ways. Mostly men are experiencing more symptoms during this stage, mainly gay men. Lymphangitis of the penis occurs and if they have anal sex then anal discharge, anal pain, and inflammation of the colonic mucosa causing cramps and diarrhea. In this stage is where fever, malaise, loss of appetite and the shakes occurs.
Conditions such as Lymphorrhoids or perianal condylomata will appear, both resembles hemorrhoids and are caused by the lymphatic being obstructed. Granular and palpable, enlarged lymph nodes (buboes) under the bowel wall may be present. Stricture and elephantiasis of the genital can also occur in this stage. Women may experience esthiomene, which means eating away of the vulva and clitoris causing hypertrophic granulomatous swelling of the vulva and ulcerations. Fistula of the vagina, penis, rectum, urethra, uterus and edema happens in this latent stage years after the person has became infected with Climatic Bubo. Not being treated before this tertiary stage can result in the person being affected systematically with hepatitis, arthritis and pneumonia.
Climatic Bubo can cause death as a result of follicular conjunctivitis from infection or bowel obstruction.
Treatment for Climatic Bubo
Climatic Bubo can be easily treated in early stages with antibiotics, usually Doxycycline is prescribed, and other medications used are tetracycline or erythromycin. Severe infection makes treatment more difficult, isolation and quarantine sometimes is required till the infection responds to medication.
Testing for Climatic Bubo
Blood tests can detect the bacteria
Positive laboratory test for Chlamydia should strongly encourage further testing for Climatic Bubo considering Lymphogranuloma Venereum is a strain of Chlamydia.
Biopsy of the lymph nodes can detect Climatic Bubo
If you have more than one sexual partner the best way to protect yourself from this STDs is to practice safe sex with condoms.
New York Times