RT Journal Article SR Electronic T1 Man with bilateral inguinal lymphadenopathy JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 522 OP 522 DO 10.1136/emermed-2017-207337 VO 35 IS 8 A1 Delcourt, Charlotte A1 Yombi, Jean Cyr A1 Yildiz, Halil YR 2018 UL http://emj.bmj.com/content/35/8/522.1.abstract AB 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