title: Isolated bilateral inguinal lymphadenopathy in the absence of other symptoms, due to LGV in known HIV-positive MSM: is it more common than we think?
abstract: The current resurgence of lymphogranuloma venereum (LGV) has drawn most attention to its potential for causing proctitis; however, this case highlights the need for awareness of LGV as a cause of isolated painful bilateral inguinal lymphadenopathy in a high-risk population and the importance of routine screening for LGV. We describe a case of a 37-year-old HIV positive man, in the population of men who have sex with men (MSM) who presented with bilateral enlarged inguinal lymph nodes and no other symptoms or signs. Urine nucleic acid amplification test was positive for chlamydia LGV-specific DNA. Tests from other sites were negative.
authors.affiliation: GUM/HIV, ABM University Health Board, Singleton Hospital, Swansea, UK.
authors.forename: Soumeya
authors.initials: S
authors.lastname: Cherif
authors.affiliation: GUM/HIV, ABM University Health Board, Singleton Hospital, Swansea, UK.
authors.forename: Kathir
authors.initials: K
authors.lastname: Yoganathan
authors.affiliation: GUM/HIV, ABM University Health Board, Singleton Hospital, Swansea, UK.
authors.forename: Susannah
authors.initials: S
authors.lastname: Danino
mesh_terms: D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D004318:Doxycycline / Q000627:therapeutic use; D006679:HIV Seropositivity / Q000150:complications*; D018451:Homosexuality, Male; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D000072281:Lymphadenopathy / Q000209:etiology; D008219:Lymphogranuloma Venereum / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D012307:Risk Factors
chemical_list: D004318:Doxycycline