Lymphogranuloma venereum and HIV infection: misdiagnosed as Crohn's disease.
The report describes a young Caucasian homosexual man who presented with a 4-month history of bloody diarrhoea and weight loss. Over the next 4 months he was investigated for inflammatory bowel disease and subsequently started on mesalazine and prednisolone as an outpatient. Within a month of starting treatment his symptoms worsened, leading to his self-referral to the genitourinary medicine clinic. The patient was subsequently diagnosed with advanced HIV infection and lymphogranuloma venereum infection. The patient was treated with doxycycline for 3 weeks and started on antiretrovirals. One month later the patient is symptom free with a recovering immune system.
Courtyard Clinic, St George's Hospital, London, UK. sheel.patel@stgeorges.nhs.uk
Sheel
S
Patel
Phillip
P
Hay
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis*; D000328:Adult; D003424:Crohn Disease / Q000175:diagnosis*; D003951:Diagnostic Errors; D018451:Homosexuality, Male; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000175:diagnosis*; D008297:Male; D011350:Proctocolitis / Q000175:diagnosis*; D012812:Sigmoidoscopy