"Fever of unknown origin" due to lymphogranuloma venereum; report of a case with diagnosis by the use of quantitative complement-fixation tests.

Abstract

LYMPHOGRANULOMA venereum infection is a localized suppurative process involving the inguinal, femoral and pelvic lymph nodes and the rectum. Although systemic symptoms are common in this disease, prolonged fever is rare. This infection is therefore not usually thought of in the differential diagnoses of febrile conditions. Fever, sweats, headache, tachycardia or relative bradycardia, joint and muscle pains, malaise and anorexia are frequent but, as a rule, cause little concern to the patient. Some cases, however, are so severe that the lymphadenitis appears to be of minor importance in the face of a generalized infection. When generalized symptoms predominate and the . . .