AN UNUSUAL MANIFESTATION OF CHLAMYDIA-PNEUMONIAE INFECTION - MENINGITIS, HEPATITIS, IRITIS AND ATYPICAL ERYTHEMA-NODOSUM

A 37-year-old man was admitted to hospital with fever, muscle tenderne ss, headache and mild exanthema on the right thigh. During his hospita l stay, the headache worsened and aseptic meningitis was diagnosed. A bilateral iritis developed, and the exanthema developed into an atypic al erythema nodosum. In liver function tests, pathological results wer e recorded. Vasculitis was suspected but could not be confirmed. All s erological tests proved negative except for a fourfold titre rise to C hlamydia pneumoniae. We concluded that the meningitis, hepatitis. irit is and atypical erythema nodosum were most probably due to a C. pneumo niae infection.