Abstract
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.
MeSH terms
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Adult
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Appendectomy
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Appendicitis / diagnosis*
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Appendix / surgery
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Diagnosis, Differential*
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Diagnostic Errors
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HIV Infections / complications*
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Humans
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Ilium* / surgery
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Laparoscopy
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Lymphadenitis / complications
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Lymphadenitis / diagnosis*
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Lymphadenitis / microbiology
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Male
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Pelvic Pain
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Streptococcal Infections / complications
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Streptococcal Infections / diagnosis*
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Streptococcal Infections / microbiology
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Streptococcus pyogenes / isolation & purification
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Young Adult