Man with bilateral inguinal lymphadenopathy.

Delcourt, Charlotte;Yombi, Jean Cyr;Yildiz, Halil
(2018) Emergency Medicine Journal — Vol. 35, n° 8, p. 522 (2018)

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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.emermed;35/8/522/F1F1F1Figure 1(A) Inguinal lymphadenopathy. (B) Ulceration at the base of the penis. QUESTION: What is the most likely diagnosis?ToxoplasmosisTuberculosisCat-scratch diseaseLymphogranuloma venereumSyphilis.
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Delcourt, C., Yombi, J. C., & Yildiz, H. (2018). Man with bilateral inguinal lymphadenopathy. Emergency Medicine Journal, 35(8), 522. https://doi.org/10.1136/emermed-2017-207337 (Original work published 2018)