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Bubo masquerading as an incarcerated inguinal hernia
Authors:K. Hodge  R. Orgler  T. Monson  R. Read
Affiliation:(1) Department of Surgery, University of Connecticut, Hartford, Hospital, 80 Seymour Street, Hartford, CT 06102, USA,;(2) Department of Surgery, University of Arkansas for Medical Sciences, USA,;(3) University of Arkansas for Medical Sciences, Central Arkansas Veterans Healthcare Center, Little Rock, Ark., USA,;(4) University of Arkansas, Central Arkansas Veterans Healthcare Center, 4300 West 7th, 112LR, Little Rock, AK 72205, USA,
Abstract:A 44-year old, male, tattooed, leather jacket clad, Harley-Davidson motorcyclist arrived at the emergency room with a tender, irreducible mass, presenting at the external inguinal ring. In 1998, lung biopsy was read as miliary granuloma. No herniation was found on urgent preperitoneal exploration. Incision of the mass showed acid-fast bacilli. Culture later revealed Mycobacterium avium-intracellulare (MAI). A blood count showed CD4 lymphopenia; HIV was negative and remains so 2 years later. Electronic Publication
Keywords:Inguinal bubo Mycobacterium avium-intracellulare (MAI) Hernia masquerade
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