TY - JOUR T1 - Man with bilateral inguinal lymphadenopathy JF - Emergency Medicine Journal JO - Emerg Med J SP - 522 LP - 522 DO - 10.1136/emermed-2017-207337 VL - 35 IS - 8 AU - Charlotte Delcourt AU - Jean Cyr Yombi AU - Halil Yildiz Y1 - 2018/08/01 UR - http://emj.bmj.com/content/35/8/522.1.abstract N2 - 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?ToxoplasmosisTuberculosisCat-scratch diseaseLymphogranuloma venereumSyphilis ER -