Fulminating lymphogranuloma venerum in an HIV-positive middle aged patent mascurading as soft tissue sarcoma

Abstract

This is a case report of a 40-year old male patient presenting with a 17-month history of right inguinal/growing swellings. Initial clinical assessment was suggestive of soft tissue sarcoma, and he was admitted in the surgical ward. Histopathology investigation suggested an inflammatory process was taking place. Assessment for Chlamydia IgG with Enzyme-Linked Immunosorhent Assay (ELISA) using Immunocomb (Organics, Israel) gave a positive titre of 1 in 32. HIV serology using p24 ELISA and Western Blotting gave positive results.
He made significant progress after two weeks on antibiotics and antiretroviral (HAART) therapy.


African Journal of Clinical and Experimental Microbiology Vol. 9 (1) 2008: pp. 59-61