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Isolated tuberculous lymphadenitis presenting as bilateral buboes.

Arun Prasath Palanisamy¹, Soumya Samuel¹, Sivasubramanian Vadivel¹

¹Department of Dermatology and STD, Vinayaka Mission's Medical College and Hospital, Karaikal, Puducherry, India.

Indian Journal of Sexually Transmitted Diseases and AIDS

|September 23, 2015

Summary

This case report highlights isolated inguinal tuberculous lymphadenitis, a rare condition presenting as painful groin swelling. Prompt antituberculous therapy led to complete resolution, emphasizing thorough evaluation beyond common causes.

Keywords:

Bilateral extrapulmonary tuberculosis inguinal bubo isolated tuberculous lymphadenitis

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Area of Science:

Infectious Diseases
Immunology
Public Health

Background:

Inguinal and femoral buboes, characterized by painful lymph node enlargement in the groin, can be associated with various underlying conditions.
The syndromic management of sexually transmitted diseases is common, potentially overshadowing other differential diagnoses for groin swelling.

Observation:

A 42-year-old female presented with bilateral inguinal swelling persisting for six months.
Initial evaluation for common causes of lymphadenopathy was conducted.

Findings:

The patient was diagnosed with isolated inguinal tuberculous lymphadenitis.
Complete resolution of symptoms was achieved with standard antituberculous therapy.

Implications:

This case underscores the importance of considering tuberculosis as a differential diagnosis for inguinal lymphadenitis, particularly in endemic regions.
It emphasizes the need for comprehensive evaluation to rule out less common causes of buboes, even in the context of syndromic management of sexually transmitted infections.