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.

Treatment

Non-drug treatment:

Educate, promote and provide condoms, and discuss partner referral and treatment.

Drug 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 procaine penicillin page 19)

PLUS

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 3).

Dosage forms:; Tablet (adult), 400mg + 80mg; 800mg + 160mg.