Inguinal bubo is a swelling of inguinal lymph nodes as a result of sexually transmitted infections. Careful evaluation of the patient is important as infections from lower extremities or in the perineum can produce swelling of the lymph nodes in the inguinal region.
Educate, promote and provide condoms, and discuss partner referral and treatment.
Benzathine penicillin G, 2.4 million units intramuscularly at a single session (because of the volume of this dose, give it as two injections at separate sites)
(S/E, C/I and dosage forms: see under benzyl penicillin page 39)
Erythromycin, 500mg p.o. qid for 15 days.
(For S/E, C/I and dosage forms, see page 19).
Sulfamethoxazole+trimethoprim, 800mg/160 mg p.o. bid., for 15 days. For children 6 weeks - 5 months, 100/20 mg; 6 months - 5 yrs, 200/40 mg; 6 - 12 yrs, 400/80mg bid.
(For S/E and C/I see page 183).
Dosage forms: tablet (adult), 400mg + 80mg; 800mg + 160mg.