Lymphogranuloma venereum and HIV infection: misdiagnosed as Crohn's disease. (26th November 2010)

• Record Type: Journal Article
• Authors: Patel, Sheel; Hay, Phillip
• Is Part Of: BMJ case reports. Volume 2010
• Publication Date: 2010-11-26
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.02.2010.2771
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.