Inguinal Swelling (Bubo)
exp date isn't null, but text field is
It is an STI syndrome presenting as localised swellings or enlarged lymph glands in the groin and femoral area.
Causes
- Chlamydia strains: lymphogranuloma venerium (LGV)
- Heamophilus ducreyi: chancroid
- Treponema pallidum: syphilis
Clinical features
- Excessively swollen inguinal glands
- Pain, tenderness
- Swellings may become fluctuant if pus forms
Differential diagnosis
- Other causes of swollen inguinal lymph nodes, e.g. leg ulcer
- Obstructed inguinal hernia
Investigations
- As for Genital Ulcers
- C&S of pus
Management
Management
TREATMENT | LOC |
Examine for genital ulcers, rule out infection of the foot, leg or buttock and exclude inguinal hernia
If partner is pregnant
If bubo persisting, and partner was not treated
If not improving
|
HC2 HC3 |
Caution
- Do not incise bubo. Aspirate through normal skin with a large bore needle gauge <20 every 2 days until resolution
- Alternative to doxycycline: azithromycin 1 g single dose