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12.9 Inguinal Bubo

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Inguino and femoral bubos are localized enlargements of the lymph nodes in the groin area, which are painful and may be fluctuant. They are frequently associated with lymphogranuloma venereum and chancroid caused by Chlamydia trachomatis and Haemophilus ducreyi respectivelyIn many cases of chancroid an associated genital ulcer is visible, but occasionally may not be. Non-sexually transmitted local and systemic infections (e.g. infections of the lower limb) can also cause swelling of inguinal lymph nodes. These should therefore be ruled out.

Common symptoms and signs of IB include swelling in the groin which are often fluctuant and associated with pain, fever and tenderness.

Management and Treatment of Inguinal BUBO (see flow chart 12.9)

 Note: do not incise the BUBO

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