• Emerg Med J · Aug 2018

    Case Reports

    Man with bilateral inguinal lymphadenopathy.

    • Charlotte Delcourt, Jean Cyr Yombi, and Halil Yildiz.
    • Department of Internal Medicine and Infectiology, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium.
    • Emerg Med J. 2018 Aug 1; 35 (8): 522.

    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.emermed;35/8/522/F1F1F1Figure 1(A) Inguinal lymphadenopathy. (B) Ulceration at the base of the penis.QuestionWhat is the most likely diagnosis?ToxoplasmosisTuberculosisCat-scratch diseaseLymphogranuloma venereumSyphilis.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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