[24F] With painful groin sores and swollen lymph nodes post-unprotected intercourse

Patient Description

A 24-year-old female presented with painful open white sores spread out over multiple areas in the groin, which appeared a few days after an unprotected sexual encounter. The sores have partially healed with the application of triple antibiotic ointment. Additionally, the patient reports a swollen lymph node on the right side of the neck and a swollen tonsil. There is no fever, but difficulty swallowing is present. The patient has a history of bipolar disorder and ADHD, diagnosed two years ago, and is currently taking Lithium (1200 mg daily) and guanfacine (1 mg daily). There are no known drug allergies. No other medications or supplements were reported. The patient also mentioned not showering for two days post-encounter and wearing dirty clothes, which may have contributed to the symptomatology.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Genital Herpes: This is a sexually transmitted infection caused by the herpes simplex virus. It can cause painful, open sores in the genital area, and can also cause swollen lymph nodes.

    • Treatment typically involves antiviral medications to help control outbreaks.
  • Syphilis: This is another sexually transmitted infection that can cause sores in the genital area and swollen lymph nodes. The sores can be painless or painful.

    • Treatment typically involves antibiotics, usually penicillin.
  • Chancroid: This is a sexually transmitted infection caused by the bacterium Haemophilus ducreyi. It causes painful sores in the genital area and can also cause swollen lymph nodes.

    • Treatment typically involves antibiotics.

Please note that these are possibilities based on the symptoms you've described, and a definitive diagnosis can only be made by a healthcare professional after appropriate testing.

What you can do

Given the symptoms you've described, it's important to seek medical attention as soon as possible. Here's what you can do:

  1. Schedule an appointment with a healthcare provider. They can examine your sores and swollen lymph nodes, and may order tests to help determine the cause of your symptoms.
  2. Avoid sexual activity until you've seen a healthcare provider. If you have a sexually transmitted infection, you can pass it to others even if you use protection.
  3. Continue to monitor your symptoms. If they worsen or if you develop new symptoms, seek medical attention immediately.

What you should look out for

Reasons to seek immediate medical attention include:

  • Severe pain
  • High fever
  • Rapidly worsening symptoms
  • Difficulty breathing or swallowing

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of genital herpes?

Common symptoms of genital herpes include painful blisters or sores in the genital area, itching, and burning sensations. Some people may also experience flu-like symptoms such as swollen lymph nodes, fever, and body aches.


How is syphilis diagnosed and treated?

Syphilis is diagnosed through a blood test or examination of fluid from a sore. It is treated with antibiotics, typically penicillin, which is very effective, especially in the early stages of the disease.


What should I do if I suspect I have a sexually transmitted infection (STI)?

If you suspect you have an STI, it's important to see a healthcare provider for testing and diagnosis. Avoid sexual activity until you have been evaluated and treated if necessary. Inform any recent sexual partners so they can also be tested.


Can swollen lymph nodes be a sign of an infection?

Yes, swollen lymph nodes can be a sign of an infection as they are part of the body's immune response. They can swell in response to infections like STIs, colds, or other illnesses.


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