Guidelines for the Management of Sexually Transmitted Infections. February 2004
(2004; 88 pages)
Table of Contents
View the documentPREFACE
Open this folder and view contents1. INTRODUCTION
Close this folder2. TREATMENT OF STI-ASSOCIATED SYNDROMES
Open this folder and view contents2.1. Urethral discharge
Close this folder2.2. Genital ulcer
View the documentGenital ulcer and HIV infection
View the documentInguinal bubo
View the document2.3. Scrotal swelling
Open this folder and view contents2.4. Vaginal discharge
View the document2.5. Lower abdominal pain
View the document2.6. Neonatal conjunctivitis
Open this folder and view contents3. TREATMENT OF SPECIFIC INFECTIONS
Open this folder and view contents4. KEY CONSIDERATIONS UNDERLYING TREATMENTS
Open this folder and view contents5. PRACTICAL CONSIDERATIONS IN STI CASE MANAGEMENT
Open this folder and view contents6. CHILDREN6, ADOLESCENTS AND SEXUALLY TRANSMITTED INFECTIONS
View the documentANNEX. LIST OF PARTICIPANTS
 

Inguinal bubo

Inguinal and femoral buboes are localised 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. In 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.

Recommended syndromic treatment

• ciprofloxacin, 500mg orally, twice daily for 3 days

AND

• doxycycline, 100mg orally twice daily for 14 days

OR

• erythromycin, 500mg orally four times daily for 14 days

Some cases may require longer treatment than the 14 days recommended above. Fluctuant lymph nodes should be aspirated through healthy skin. Incision and drainage or excision of nodes may delay healing and should not be attempted.


FIGURE 4. INGUINAL BUBO

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