No axillary or inguinal lymphadenopathy
pedal edema, rash or joint pains were present.
Her vital signs were unremarkable, and the physical examination demonstrated normal findings except for tender, erythematous, nonfluctuant right inguinal lymphadenopathy
. The patient was admitted for intractable pain and fever and started on intravenous cefoxitin 2 g IV every 8 hours and oral doxycycline 100 mg every 12 hours for pelvic inflammatory disease vs tick- or flea-borne illness.
Case-patient 1 (IIBC1301) was a 22-year-old man hospitalized for left inguinal lymphadenopathy
that had started 10 days earlier.
Patients with contraindications to neuraxial block, drug sensitivity, history of drug abuse, psychogenic diseases, inguinal lymphadenopathy
, perineal infection or hematoma at the needle insertion site, previous surgery or scars in the region, pre-existing obturator neuropathy, bilateral ONB block due to the site or progress of cancer, and failure of spinal block were excluded from the study.
On examination, the patient was found to have cervical, supraclavicular, and inguinal lymphadenopathy
as well as splenomegaly.
They can mimic inguinal lymphadenopathy
or nonreducible/incarcerated inguinal hernia.
The patient subsequently developed right inguinal lymphadenopathy
and worsening abscesses, which prompted specimen collection for culture on August 25.
The reason our case is interesting is that the patient was misdiagnosed and treated for a long time for inguinal lymphadenopathy
due to fungal and bacterial infection.
Behets and Andriamiadana et al.13 reported inguinal lymphadenopathy
in 30% of cases.
Keywords: Tularemia, Glandular tularemia, Inguinal lymphadenopathy
He also had left inguinal lymphadenopathy
measuring 8 x 8 cm, and 2 x 2 cm on the right.
We report a case of lepromatous leprosy with extensive involvement of the genitalia and bilateral inguinal lymphadenopathy
simulating lymphogranuloma venerum.