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Man with bilateral inguinal lymphadenopathy


Clinical introduction A 37-year-old man with history of lymph node tuberculosis presented with bilateral inguinal swelling with night sweats but no fever for 2 weeks. He had a cat but he had no history of scratches. He had an extraconjugal sexual intercourse a few weeks before. Physical examination revealed 5 cm tender, erythematous and painful bilateral inguinal adenopathy (figure 1A) and a small ulceration at the base of the penis (figure 1B). Vital signs were normal.

Figure 1

(A) Inguinal lymphadenopathy. (B) Ulceration at the base of the penis.

Question What is the most likely diagnosis?

  1. Toxoplasmosis

  2. Tuberculosis

  3. Cat-scratch disease

  4. Lymphogranuloma venereum

  5. Syphilis

  • infection
  • infectious diseases, bacterial
  • treatment

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