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Acute seronegative polyarthritis associated with lymphogranuloma venereum infection in a patient with prevalent HIV infection

Acute seronegative polyarthritis associated with lymphogranuloma venereum infection in a patient with prevalent HIV infection
Acute seronegative polyarthritis associated with lymphogranuloma venereum infection in a patient with prevalent HIV infection
A 44-year-old man who has sex with men presented with a three-month asymmetrical polyarthropathy. He had a positive HIV-1 antibody test consistent with infection acquired more than six months previously. Lymphogranuloma venereum (LGV)-associated DNA was detected from a rectal swab. Following successful treatment for LGV his arthritis resolved completely. Infection with HIV-1 has been hypothesized to cause reactive arthritis but this has been disputed. The most likely diagnosis in this patient was sexually acquired reactive arthritis secondary to LGV infection. As LGV can be asymptomatic and treatment differs from that of the other serovars, screening should be considered in all men who have sex with men (MSM) presenting with acute arthritis, particularly if they are HIV infected.
lymphogranuloma venereum (lgv), chlamydia trachomatis, reactive arthritis, hiv, homosexual, diagnosis, treatment, msm, sara
59-60
Kober, C.
375b5ac9-ea61-4fac-b2ad-44c1f01efc33
Richardson, D.
9dedf3b7-54a6-4068-b9ba-f71b70b1d813
Bell, C.
2fa57495-aba2-4aca-9fac-2681f165f86c
Walker-Bone, K.
ad7d1336-ed2c-4f39-ade5-da84eb412109
Kober, C.
375b5ac9-ea61-4fac-b2ad-44c1f01efc33
Richardson, D.
9dedf3b7-54a6-4068-b9ba-f71b70b1d813
Bell, C.
2fa57495-aba2-4aca-9fac-2681f165f86c
Walker-Bone, K.
ad7d1336-ed2c-4f39-ade5-da84eb412109

Kober, C., Richardson, D., Bell, C. and Walker-Bone, K. (2011) Acute seronegative polyarthritis associated with lymphogranuloma venereum infection in a patient with prevalent HIV infection. International Journal of STD & AIDS, 22 (1), 59-60. (doi:10.1258/ijsa.2010.010262). (PMID:21364072)

Record type: Article

Abstract

A 44-year-old man who has sex with men presented with a three-month asymmetrical polyarthropathy. He had a positive HIV-1 antibody test consistent with infection acquired more than six months previously. Lymphogranuloma venereum (LGV)-associated DNA was detected from a rectal swab. Following successful treatment for LGV his arthritis resolved completely. Infection with HIV-1 has been hypothesized to cause reactive arthritis but this has been disputed. The most likely diagnosis in this patient was sexually acquired reactive arthritis secondary to LGV infection. As LGV can be asymptomatic and treatment differs from that of the other serovars, screening should be considered in all men who have sex with men (MSM) presenting with acute arthritis, particularly if they are HIV infected.

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More information

Published date: January 2011
Keywords: lymphogranuloma venereum (lgv), chlamydia trachomatis, reactive arthritis, hiv, homosexual, diagnosis, treatment, msm, sara
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 367511
URI: http://eprints.soton.ac.uk/id/eprint/367511
PURE UUID: 16265c33-a4d3-4d0e-a31f-93d5fa79a312
ORCID for K. Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459

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Date deposited: 02 Sep 2014 11:33
Last modified: 20 Jul 2019 01:08

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Contributors

Author: C. Kober
Author: D. Richardson
Author: C. Bell
Author: K. Walker-Bone ORCID iD

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