Suppurative iliac lymphadenitis masquerading as appendicitis in an HIV-infected patient.
An HIV-infected man presented with acute onset of right iliac fossa pain. Initial assessment of clinical and computed tomography findings suggested a diagnosis of appendicitis. A macroscopically normal appendix was removed. Further imaging performed postoperatively because of persistent symptoms showed a right iliac fossa mass; culture of pus aspirated from the mass grew group A beta-haemolytic Streptococcus confirming a diagnosis of suppurative iliac lymphadenitis.
Peppa
D
D
T8, University College London Hospitals, London NW1 8BU, UK.
Stephens
N J
NJ
Miller
R F
RF
D000328:Adult; D001062:Appendectomy; D001064:Appendicitis / Q000175:diagnosis*; D001065:Appendix / Q000601:surgery; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007085:Ilium / Q000601:surgery; D010535:Laparoscopy; D008199:Lymphadenitis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D017699:Pelvic Pain; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D055815:Young Adult