Increases in pharyngeal positivity in men who have sex with men, 2011-2015: observational study.

Objectives: Pharyngeal gonorrhoea disproportionately affects men who have sex with men (MSM). We explored temporal trends in pharyngeal gonorrhoea positivity among MSM compared with anorectal and urogenital positivity.

Methods: Data (2011-2015) were extracted from 41 publicly funded sexual health clinics participating in a national surveillance network.

Lymphogranuloma venereum presenting as penile ulcer in two HIV-negative gay men.

An epidemic of lymphogranuloma venereum among men who have sex with men (MSM) has persisted in Australia for over a decade and virtually all diagnoses are made from rectal samples. We discuss two cases of human immunodeficiency virus-negative MSM who presented with a penile ulcer. The diagnosis can be made by ensuring a swab of any such ulcer is tested for Chlamydia trachomatis.