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Man with bilateral inguinal lymphadenopathy

Authors :
Halil Yildiz
Jean Cyr Yombi
Charlotte Delcourt
UCL - SSS/IREC/SLUC - Pôle St.-Luc
UCL - (SLuc) Service de médecine interne générale
Source :
Emergency Medicine Journal, Vol. 35, no.8, p. 522 (2018)
Publication Year :
2018

Abstract

Clinical introductionA 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.QuestionWhat is the most likely diagnosis?ToxoplasmosisTuberculosisCat-scratch diseaseLymphogranuloma venereumSyphilis

Details

ISSN :
14720213
Volume :
35
Issue :
8
Database :
OpenAIRE
Journal :
Emergency medicine journal : EMJ
Accession number :
edsair.doi.dedup.....f84d382f9664b25ad254787790b94bc2