Abstract
In this paper we present a case history of a homosexual HIV-positive male with a painless nodule on the penis. Screening for sexually transmitted diseases did not detect any infection until the node perforated spontaneously. A diagnosis of lymphogranuloma venereum was made when chlamydia trachomatis type L2 DNA was extracted from the lesion. This case illustrates that standard screening may not be sufficient for making the diagnosis of lymphogranuloma venereum.
MeSH terms
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AIDS-Related Opportunistic Infections / diagnosis*
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AIDS-Related Opportunistic Infections / drug therapy
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AIDS-Related Opportunistic Infections / pathology
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Anti-Bacterial Agents / therapeutic use*
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Chlamydia trachomatis / genetics
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Chlamydia trachomatis / isolation & purification*
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DNA, Bacterial / isolation & purification
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Diagnosis, Differential
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Doxycycline / therapeutic use*
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HIV Seropositivity / diagnosis*
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HIV Seropositivity / drug therapy
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HIV Seropositivity / pathology
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Homosexuality, Male
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Humans
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Lymphogranuloma Venereum / diagnosis*
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Lymphogranuloma Venereum / drug therapy
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Lymphogranuloma Venereum / pathology
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Male
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Middle Aged
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Penile Diseases / diagnosis*
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Penile Diseases / drug therapy
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Penile Diseases / pathology
Substances
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Anti-Bacterial Agents
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DNA, Bacterial
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Doxycycline