International Journal of STD & AIDS > Volume 20, Number 6 > Pp. 431-433

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Case reports

Suppurative iliac lymphadenitis masquerading as appendicitis in an HIV-infected patient

D Peppa MRCP ^* , N J Stephens FRCR  and R F Miller FRCP ^*  

^* T8, University College London Hospitals, London NW1 8BU; Research Department of Infection and Population Health, Division of Population Health, University College London Medical School, University College London, London WC1E 6JB; Department of Imaging, University College London Hospitals, London NW1 8BU, UK

Correspondence to: Professor R F Miller, Research Department of Infection and Population Health, Division of Population Health, University College London Medical School, University College London, The Mortimer Market Centre, off Capper Street, London WC1E 6JB, UK Email: rmiller{at}gum.ucl.ac.uk

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.

Key Words: HIV infection • appendicitis • Streptococcus • infection • lymphadenitis

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