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Scrotal mass with fever and generalized lymphadenopathy in a young man secondary to Chlamydia trachomatis infection.

Identifieur interne : 001F96 ( Ncbi/Merge ); précédent : 001F95; suivant : 001F97

Scrotal mass with fever and generalized lymphadenopathy in a young man secondary to Chlamydia trachomatis infection.

Auteurs : N E Jenkins [Royaume-Uni] ; L. Radcliffe ; Mike Beadsworth ; H. Mallinson ; Fred Nye ; Nick Beeching

Source :

RBID : pubmed:16230185

Descripteurs français

English descriptors

Abstract

A young man presented with systemic upset and generalised lymphadenopathy. Later, it transpired that he was under investigation for a scrotal mass. Investigations were carried out to ascertain the cause of his symptoms including lymph node biopsy. Because of the presence of a scrotal mass in a sexually active male, a urinary Chlamydia ligase chain reaction (LCR) test was carried out. The result was positive and he was treated with doxycycline for 2 weeks. His symptoms settled and further, the urinary LCR was negative. We propose that Chlamydia trachomatis infection caused his illness and that urine PCR or LCR tests for Chlamydia is a convenient and useful investigation in sexually active males with generalised lymphadenopathy and fever of unknown origin.

DOI: 10.1016/j.jinf.2004.10.008
PubMed: 16230185

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pubmed:16230185

Le document en format XML

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<nlm:affiliation>Tropical and Infectious Disease Unit, Royal Liverpool University Hospital, Liverpool L7 8XP, UK.</nlm:affiliation>
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<name sortKey="Mallinson, H" sort="Mallinson, H" uniqKey="Mallinson H" first="H" last="Mallinson">H. Mallinson</name>
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<name sortKey="Nye, Fred" sort="Nye, Fred" uniqKey="Nye F" first="Fred" last="Nye">Fred Nye</name>
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<term>Adult</term>
<term>Chlamydia Infections (complications)</term>
<term>Chlamydia trachomatis (isolation & purification)</term>
<term>Elephantiasis (etiology)</term>
<term>Elephantiasis (pathology)</term>
<term>Fever (etiology)</term>
<term>Genital Diseases, Male (etiology)</term>
<term>Genital Diseases, Male (pathology)</term>
<term>Humans</term>
<term>Lymphatic Diseases (etiology)</term>
<term>Lymphatic Diseases (pathology)</term>
<term>Male</term>
<term>Scrotum (pathology)</term>
<term>Urine (microbiology)</term>
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<term>Adulte</term>
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<term>Fièvre (étiologie)</term>
<term>Humains</term>
<term>Infections à Chlamydia ()</term>
<term>Maladies de l'appareil génital mâle (anatomopathologie)</term>
<term>Maladies de l'appareil génital mâle (étiologie)</term>
<term>Maladies lymphatiques (anatomopathologie)</term>
<term>Maladies lymphatiques (étiologie)</term>
<term>Mâle</term>
<term>Scrotum (anatomopathologie)</term>
<term>Urine (microbiologie)</term>
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<term>Éléphantiasis (étiologie)</term>
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<term>Maladies de l'appareil génital mâle</term>
<term>Maladies lymphatiques</term>
<term>Scrotum</term>
<term>Éléphantiasis</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Chlamydia Infections</term>
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<term>Elephantiasis</term>
<term>Fever</term>
<term>Genital Diseases, Male</term>
<term>Lymphatic Diseases</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Chlamydia trachomatis</term>
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<term>Chlamydia trachomatis</term>
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<term>Urine</term>
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<term>Urine</term>
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<term>Lymphatic Diseases</term>
<term>Scrotum</term>
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<div type="abstract" xml:lang="en">A young man presented with systemic upset and generalised lymphadenopathy. Later, it transpired that he was under investigation for a scrotal mass. Investigations were carried out to ascertain the cause of his symptoms including lymph node biopsy. Because of the presence of a scrotal mass in a sexually active male, a urinary Chlamydia ligase chain reaction (LCR) test was carried out. The result was positive and he was treated with doxycycline for 2 weeks. His symptoms settled and further, the urinary LCR was negative. We propose that Chlamydia trachomatis infection caused his illness and that urine PCR or LCR tests for Chlamydia is a convenient and useful investigation in sexually active males with generalised lymphadenopathy and fever of unknown origin.</div>
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<AbstractText>A young man presented with systemic upset and generalised lymphadenopathy. Later, it transpired that he was under investigation for a scrotal mass. Investigations were carried out to ascertain the cause of his symptoms including lymph node biopsy. Because of the presence of a scrotal mass in a sexually active male, a urinary Chlamydia ligase chain reaction (LCR) test was carried out. The result was positive and he was treated with doxycycline for 2 weeks. His symptoms settled and further, the urinary LCR was negative. We propose that Chlamydia trachomatis infection caused his illness and that urine PCR or LCR tests for Chlamydia is a convenient and useful investigation in sexually active males with generalised lymphadenopathy and fever of unknown origin.</AbstractText>
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