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Images in paediatrics
Inguinal lymphadenopathy in a teenager
  1. Patrick M Meyer Sauteur1,
  2. Michelle Seiler2,
  3. Christoph Berger1
  1. 1 Division of Infectious Diseases and Hospital Epidemiology, University Children's Hospital Zurich, Zurich, Switzerland
  2. 2 Emergency Department, University Children's Hospital Zurich, Zurich, Switzerland
  1. Correspondence to Dr Patrick M Meyer Sauteur, Division of Infectious Diseases and Hospital Epidemiology, University Children's Hospital Zurich, CH-8032 Zurich, Switzerland; patrick.meyer{at}kispi.uzh.ch

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A previously healthy male teenager presented with a 2-week history of tender swelling in the right groin, not responding to 7 days of amoxicillin-clavulanate. There was no history of recent sexual activity. He could not recall any trauma, insect or tick bites during frequent mountain biking in a local forest in Switzerland. Examination revealed a painful unilateral inguinal lymphadenopathy (figure 1), corresponding to a hyperechoic lymph node in ultrasonography (3×2×6 cm). Genital examination was unremarkable, …

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Footnotes

  • Contributors PMMS, MS and CB: patient care and/or diagnostic workup; critically reviewed the manuscript. PMMS: drafting the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.