Chlamydia (lymphogranuloma venereum) peritonitis in a male patient
- Resource Type
- Authors
- Magdalena Antonik; C. Briggs; Katie J Ovens; Peter L. Labib
- Source
- BMJ Case Rep
- Subject
- Male
Abdominal pain
medicine.medical_specialty
Peritonitis
Chlamydia trachomatis
Case Report
urologic and male genital diseases
medicine.disease_cause
Gastroenterology
03 medical and health sciences
0302 clinical medicine
Gastrointestinal perforation
Internal medicine
medicine
Humans
030212 general & internal medicine
Homosexuality, Male
030505 public health
Chlamydia
business.industry
Lymphogranuloma venereum
General Medicine
Middle Aged
medicine.disease
female genital diseases and pregnancy complications
Anti-Bacterial Agents
medicine.anatomical_structure
Lymphogranuloma Venereum
Abdomen
Syphilis
medicine.symptom
0305 other medical science
business
- Language
- ISSN
- 1757-790X
A 49-year-old man presented with a 1-week history of abdominal pain, distension, diarrhoea and fatigue. CT of the abdomen and pelvis revealed peritonitis with no identifiable cause. Diagnostic laparoscopy was performed, which excluded gastrointestinal perforation. Peritoneal fluid tested positive for Chlamydia trachomatis and rectal swabs were positive for C. trachomatis serovars consistent with lymphogranuloma venereum (LGV). Additional blood tests also revealed a diagnosis of syphilis. This is a rare documented case of LGV peritonitis in a male without associated immunodeficiency. The patient recovered well following laparoscopic washout and a course of appropriate antibiotics.