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Isolated tuberculous lymphadenitis presenting as bilateral buboes.

Palanisamy AP, Samuel S, Vadivel S, Kothandapany S - Indian J Sex Transm Dis (2015 Jan-Jun)

Bottom Line: After a complete evaluation, she was found to be a case of isolated inguinal tuberculous lymphadenitis.There was complete resolution with standard antituberculous therapy.In this era of syndromic management of sexually transmitted diseases, which carries its own pros and cons, this case report emphasizes the need to look beyond the venereal causes and calls for thorough evaluation and management.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology and STD, Vinayaka Mission's Medical College and Hospital, Karaikal, Puducherry, India.

ABSTRACT
Inguinal and femoral buboes are defined as localized enlargement of lymph nodes in the groin that are painful, and may or may not be fluctuant. We report a case of 42-year-old female who presented with bilateral inguinal swelling of 6 months duration. After a complete evaluation, she was found to be a case of isolated inguinal tuberculous lymphadenitis. There was complete resolution with standard antituberculous therapy. Isolated inguinal tuberculous lymphadenitis though a rare entity in developed countries is not uncommon in developing nations. In this era of syndromic management of sexually transmitted diseases, which carries its own pros and cons, this case report emphasizes the need to look beyond the venereal causes and calls for thorough evaluation and management.

No MeSH data available.


Related in: MedlinePlus

Matted lymph nodes in the right inguinal region. Discharging sinus and healed scars on the left side
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Figure 1: Matted lymph nodes in the right inguinal region. Discharging sinus and healed scars on the left side

Mentions: On examination, the patient was thin built with no signs of anemia, icterus, cyanosis or clubbing. She had bilateral palpable matted lymph nodes in the inguinal region. The one on the right side measured about 8 cm × 4 cm, oval in shape, with well-defined margins and irregular surface. On the left side the swelling was minimal with ill-defined margins and discharging sinus [Figure 1]. Skin over both the inguinal nodes showed healed scars. Examination of the external genitalia revealed no specific finding. Systemic examination did not reveal any abnormality.


Isolated tuberculous lymphadenitis presenting as bilateral buboes.

Palanisamy AP, Samuel S, Vadivel S, Kothandapany S - Indian J Sex Transm Dis (2015 Jan-Jun)

Matted lymph nodes in the right inguinal region. Discharging sinus and healed scars on the left side
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555907&req=5

Figure 1: Matted lymph nodes in the right inguinal region. Discharging sinus and healed scars on the left side
Mentions: On examination, the patient was thin built with no signs of anemia, icterus, cyanosis or clubbing. She had bilateral palpable matted lymph nodes in the inguinal region. The one on the right side measured about 8 cm × 4 cm, oval in shape, with well-defined margins and irregular surface. On the left side the swelling was minimal with ill-defined margins and discharging sinus [Figure 1]. Skin over both the inguinal nodes showed healed scars. Examination of the external genitalia revealed no specific finding. Systemic examination did not reveal any abnormality.

Bottom Line: After a complete evaluation, she was found to be a case of isolated inguinal tuberculous lymphadenitis.There was complete resolution with standard antituberculous therapy.In this era of syndromic management of sexually transmitted diseases, which carries its own pros and cons, this case report emphasizes the need to look beyond the venereal causes and calls for thorough evaluation and management.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology and STD, Vinayaka Mission's Medical College and Hospital, Karaikal, Puducherry, India.

ABSTRACT
Inguinal and femoral buboes are defined as localized enlargement of lymph nodes in the groin that are painful, and may or may not be fluctuant. We report a case of 42-year-old female who presented with bilateral inguinal swelling of 6 months duration. After a complete evaluation, she was found to be a case of isolated inguinal tuberculous lymphadenitis. There was complete resolution with standard antituberculous therapy. Isolated inguinal tuberculous lymphadenitis though a rare entity in developed countries is not uncommon in developing nations. In this era of syndromic management of sexually transmitted diseases, which carries its own pros and cons, this case report emphasizes the need to look beyond the venereal causes and calls for thorough evaluation and management.

No MeSH data available.


Related in: MedlinePlus