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Infectious Lymphadenitis or Lymphoma?

1976; American Medical Association; Volume: 235; Issue: 7 Linguagem: Inglês

10.1001/jama.1976.03260330036020

1538-3598

James F. Murphy, Herbert L. Fred,

Mycobacterium research and diagnosis

Things are seldom what they seem, Skim milk masquerades as cream. —W S Gilbert, H.M.S. Pinafore PAINFUL inguinal lymph nodes and fever heralded disease in two young men. In both cases, infection paraded as the offender. The real culprit, however, was lymphoma. Lessons learned from these cases prompted this report. Report of Cases Case 1.— A 30-year-old bookkeeper entered the hospital suffering from painful right inguinal masses and fever of three days' duration. Detailed inquiry supplied no clues. His only abnormalities were a rectal temperature of 39.4 C (103 F) and large, hard, fixed, extremely tender lymph nodes in the right groin. The nodes appeared above and below the inguinal ligament forming the "groove" sign (Fig 1), a characteristic of lymphogranuloma venereum. 1 Infectious lymphadenitis seemed evident. Lymphogranuloma venereum topped the list of possibilities, but a multitude of infectious maladies generated attention. The possibility of neoplasm got little consideration. Total