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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.

Original publication

DOI

10.1258/ijsa.2008.008415

Type

Journal article

Journal

Int J STD AIDS

Publication Date

06/2009

Volume

20

Pages

431 - 433

Keywords

Adult, Appendectomy, Appendicitis, Appendix, Diagnosis, Differential, Diagnostic Errors, HIV Infections, Humans, Ilium, Laparoscopy, Lymphadenitis, Male, Pelvic Pain, Streptococcal Infections, Streptococcus pyogenes, Young Adult