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). pp. 59-60. ISSN 0956-4624

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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.

Item Type:	Article
Additional Information:	IDS Number: 764QV
Schools and Departments:	Brighton and Sussex Medical School > Clinical and Experimental Medicine
Subjects:	Q Science > QR Microbiology > QR0180 Immunology R Medicine > RC Internal medicine R Medicine > RC Internal medicine > RC0109 Infectious and parasitic diseases
Depositing User:	Tracey O'Gorman
Date Deposited:	24 Aug 2011 13:11
Last Modified:	30 Nov 2012 16:55
URI:	http://srodev.sussex.ac.uk/id/eprint/7147
Google Scholar:	1 Citations

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